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Nicotinic Acid Deficiency Secondary to Removal of a Portion of the Gastrointestinal Tract. Presented by Dr. Paul Gross.
D. V., a white man aged 51, had an eruption in the right axilla which developed in October 1931. During the following year it gradually spread to involve the face, chest and abdomen. The application of various lotions and salves was followed by temporary improvement. In 1937 the ankles became involved. At this time the patient was seen at the Vanderbilt Clinic, where a diagnosis of seborrheic eczema was made. He had a fine scaly eruption around the eyes and around the umbilicus. The skin of the upper part of the sternal region and in the right axilla was erythematous and oozing. There was also an erythematous papular eruption involving the ankles.In June 1931 he was operated on at the Presbyterian Hospital. Eighteen centimeters of the upper portion of the ileum
Spiegel L, Silver H. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;44(2):270–277. doi:10.1001/archderm.1941.01500020125019
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