title: Acute hemorrhagic pellagra in an Albanian refugee.
abstract: We report a peculiar case of hemorrhagic pellagra in an exhausted Albanian refugee who had walked for 3 days under sunny skies on his way from his country to Greece. The peculiarities of the case are the fulminant course of the disorder; the "terrifying" appearance of the patient (initially he was admitted to an emergency unit); the gangrenous appearance of the hemorrhagic lesions of the palms and fingernails; the disturbed hepatic function that gradually returned to normal; and the absence of a history of alcohol consumption, alcohol malabsorption, or drug intake.
authors.affiliation: State Hospital for Skin and Venereal Diseases, Thessaloniki, Makedonia, Greece.
authors.forename: George C
authors.initials: GC
authors.lastname: Chaidemenos
authors.forename: Olga
authors.initials: O
authors.lastname: Mourellou
authors.forename: George
authors.initials: G
authors.lastname: Karakatsanis
authors.forename: Thallia
authors.initials: T
authors.lastname: Koussidou
authors.forename: Efthimios
authors.initials: E
authors.lastname: Xenidis
authors.forename: Haroula
authors.initials: H
authors.lastname: Charalampidou
authors.forename: Dimitris
authors.initials: D
authors.lastname: Avgoloupis
mesh_terms: D000208:Acute Disease; D000328:Adult; D000415:Albania; D005148:Facial Dermatoses / Q000175:diagnosis / Q000628:therapy; D005500:Follow-Up Studies; D006229:Hand Dermatoses / Q000175:diagnosis / Q000628:therapy; D006470:Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D010383:Pellagra / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012036:Refugees; D018570:Risk Assessment; D012720:Severity of Illness Index; D012871:Skin Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy