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While the etiology of this malady is by no means settled, most observers agree that in its major manifestations it is a gastro-intestinal disease, and since it is such, curative measures for the irritation of this tract. combined with supportive measures for the upkeep of the body, are of prime importance.
There are some principles in its dietetic management rather differing from that properly accorded to gastrointestinal disturbances in other disorders, which seem worthy of consideration.
Until the theory is exploded that pellagra is due to some toxic substance in either sound or spoiled corn or corn products, I feel that we are in duty bound to give our patients the benefit of the doubt by excluding such articles from the dietary.
Simply to prohibit this class of foods, without entering into details, is likely to result in misunderstanding with consequent failure. I recently knew of a north Georgia mountaineer, who
NILES GM. THE DIETETIC MANAGEMENT OF PELLAGRA. JAMA. 1911;LVII(18):1430–1431. doi:10.1001/jama.1911.04260100256007
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