Pruritic Rash and Diarrhea in a Man with Chronic Alcohol Use Disorder

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ID: 317486
2026
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Abstract
This report describes a 62-year-old male with long-term heavy alcohol consumption, who presented with pruritic, hyperpigmented scaly plaques on sun-exposed skin and recent non-bloody diarrhea. Skin histopathology showed psoriasiform hyperplasia and superficial perivascular lymphocytic infiltration, supporting the diagnosis of pellagra. The patient responded well to oral nicotinamide supplementation, with gradual and complete resolution of skin lesions within three months. This case emphasizes that alcoholic pellagra should be considered in patients with chronic alcoholism and typical photosensitive dermatitis.
Reference Key
openalex_W7164915590 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hong-Hao Hu, Jiu‐Hong Li
Journal the british journal of dermatology
Year 2026
DOI
10.1093/bjd/ljag245
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