The exceptionally high prevalence of pellagra among women between the ages of 20 and 45 years has been pointed out in previous publications of this commission and is now generally recognized as characteristic of pellagra in the general population of the southern portion of the United States. In our First Progress Report1 attention was directed to the observation that pregnancy seems to inhibit the development of pellagrous symptoms, and to the indication that childbirth2 seems to predispose to an attack of the disease. In the present paper we wish to examine the correlation between the attack of pellagra, either initial or recurrent, on the one hand, and the existence of pregnancy and the event of childbirth on the other, in the histories of all the pellagrins in our series for whom there are definite records in regard to these phenomena.
INITIAL ATTACK OF PELLAGRA DURING PREGNANCY
SILER JF, GARRISON PE, MACNEAL WJ. THE RELATION OF PREGNANCY AND CHILDBIRTH TO PELLAGRA IN WOMEN. Arch Intern Med (Chic). 1917;XIX(3):404-439. doi:10.1001/archinte.1917.00080220071007