Hartnup disease presenting in an adult.
A young woman presented with pellagra. Her symptoms were precipitated by prolonged lactation and increased activity. Dietary intake of niacin was within recommended guidelines. Chromatography of urinary amino acids was diagnostic of Hartnup disease, an inherited disorder usually presenting in childhood. Her symptoms resolved with oral nicotinamide.
Waikato Hospital, Hamilton, New Zealand.
A
A
Oakley
J
J
Wallace
D000328:Adult; D017484:Dermatitis, Phototoxic / Q000209:etiology* / Q000473:pathology; D005260:Female; D006250:Hartnup Disease / Q000150:complications*; D006801:Humans; D007774:Lactation; D010383:Pellagra / Q000209:etiology*; D005082:Physical Exertion; D011247:Pregnancy; D012867:Skin / Q000473:pathology