title: [Alcoholic pellagra encephalopathy: an underestimated treatable entity].
abstract: Alcoholic pellagra-encephalopathy is an underestimated entity, which is characterized by alteration in the level and content of consciousness, marked oppositional hypertonus and myoclonus. This entity should be included in the differential diagnosis of encephalopathy in ethanol abusers. The spontaneous course is potentially lethal. Therapy consists of substitution of nicotinic acid in the form of nicotinamide. It is emphasized that any chronic ethanol abuser with neurological symptoms should receive substitution of all B-group vitamins including nicotinamide.
authors.affiliation: Departement für Innere Medizin, Universitätsspital Zürich.
authors.forename: A
authors.initials: A
authors.lastname: Böhler
authors.forename: C
authors.initials: C
authors.lastname: Moll
authors.forename: A
authors.initials: A
authors.lastname: Schaffner
authors.forename: R
authors.initials: R
authors.lastname: Jost
authors.forename: F
authors.initials: F
authors.lastname: Salomon
mesh_terms: D000437:Alcoholism / Q000150:complications*; D001921:Brain / Q000473:pathology*; D001928:Brain Diseases, Metabolic / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009536:Niacinamide / Q000627:therapeutic use; D010383:Pellagra / Q000150:complications* / Q000188:drug therapy / Q000209:etiology
chemical_list: D009536:Niacinamide
vernacular_title: Die alkoholische Pellagra-Enzephalopathie: Eine unterschätzte, behandelbare Entität.