title: Pellagra revealing a congenital duodenal diaphragm in an adult.
abstract: Pellagra is a nutritional disease caused by the deficiency of niacin. It is a clinical syndrome characterized by four "D's": diarrhea, dermatitis, dementia and ultimately death. We describe a case of pellagra as the initial presentation of congenital duodenal diaphragm.
authors.affiliation: Surgery and gastroenterology departments, Rabta Hospital, 1, Rue El Jahedh Le bardo 2000 Tunis, Tunisia. Electronic address: khouloud13@voila.fr.
authors.forename: Bouslama
authors.initials: B
authors.lastname: Khouloud
authors.forename: Bedioui
authors.initials: B
authors.lastname: Haykel
authors.forename: Saidani
authors.initials: S
authors.lastname: Ahmed
authors.forename: Maghrebi
authors.initials: M
authors.lastname: Houcine
authors.forename: Ben Safta
authors.initials: BS
authors.lastname: Yacine
authors.forename: Jokho
authors.initials: J
authors.lastname: Farah
authors.forename: Ben Safta
authors.initials: BS
authors.lastname: Zoubeir
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000002:abnormalities*; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000188:drug therapy / Q000209:etiology; D044342:Malnutrition / Q000209:etiology / Q000628:therapy; D009536:Niacinamide / Q000627:therapeutic use; D010383:Pellagra / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D017443:Skin Diseases, Eczematous / Q000188:drug therapy / Q000209:etiology; D014803:Vitamin B Complex / Q000627:therapeutic use; D014839:Vomiting / Q000188:drug therapy / Q000209:etiology; D015431:Weight Loss
chemical_list: D014803:Vitamin B Complex; D009536:Niacinamide