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Pellagra. Presented by Dr. Parounagian and Dr. Mason.
J. B., aged 40, was admitted to the clinic, Sept. 22, 1925. He presented a marked pigmentation on the dorsum of both hands extending to the wrist, which had persisted since June, 1925. He had no diarrhea, mouth or mental symptoms, although he said that he had had diarrhea in July, and the dermatitis on the back of the hands was more marked at that time. He was a native of New York City, although five years before presentation he had resided in Virginia for two months.While the case is not a typical example of pellagra, the pigmentation is suggestive of that disease.
DISCUSSION
Dr. Pollitzer: I feel doubtful concerning the character of the case. The main feature, of course, is the pigmented condition of the hands, but that is not the only condition that the man presents. The line of