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—In June, 1911, A. C., a man, aged about 40, came to the A. C. L. Hospital for something to cure his sunburned hands. Diagnosis was made of pellagra and the man put on treatment. When the patient first came to the hospital, a symmetrical dermatitis was to be seen on the back of both hands, extending half way up the forearms, and a slight dermatitis on both cheeks, on back of both ears and on both feet. The mucous membrane of mouth was entirely gone in most parts and that which remained was diseased. The patient gave a history of early morning diarrhea that was first noticed in the spring of 1909. His appetite was good, but his digestion poor. He complained a great deal of hands and stomach burning. He would wake up in the middle of the night with this; he said that he felt
Knight JE. TEN PELLAGRINS IN ONE FAMILY. JAMA. 1912;LVIII(25):1940–1941. doi:10.1001/jama.1912.04260060289012
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