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Pellagra is a nutritional disorder caused by a deficiency in niacin (vitamin B3) or its precursor (tryptophan) that is mainly observed in Asia and Africa where it is generally due to poor nutrition. It is characterized by dermatitis (symmetrical photodistributed erythema that may be accompanied by vesicles and bullae, and that develops into hyperkeratotic and hyperpigmented skin), gastrointestinal symptoms (diarrhea), and neuropsychiatric disorders (dementia). It can be life-threatening without a correct management.
Features include very common findings: Vitamin B3 deficiency; and common findings: Cutaneous photosensitivity, Vomiting, Difficulty swallowing (dysphagia), and Nausea and others. 43 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Difficulty swallowing (dysphagia), Headache, Fatigue |
Phenotype severity distribution: 1 very common feature, 27 common features.
No clinical trials have been registered for pellagra.
42 publications have been identified in PubMed for pellagra. Research spans Case Report / Case Series (53%), Basic Science / Preclinical (20%), and Review / Meta-Analysis (18%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 21 | 53% |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 12:59 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Skin
8 |
Cutaneous photosensitivity, Irregular hyperpigmentation, Abnormal blistering of the skin |
Digestive system | 6 | Vomiting, Difficulty swallowing (dysphagia), Nausea |
Growth and development | 1 | Cachexia |
Muscles | 1 | Muscle weakness |
Eyes | 1 | Optic neuritis |
8 |
20% |
Research summaries | 7 | 18% |
Other research | 3 | 8% |
Disease patterns and progression | 1 | 3% |
Babin de Lignac O (2026). [PMID: 42184555](https://pubmed.ncbi.nlm.nih.gov/42184555/). *Ann Dermatol Venereol*. [Case Report / Case Series]
Ghosh SK (2026). [PMID: 41692080](https://pubmed.ncbi.nlm.nih.gov/41692080/). *Clin Dermatol*. [Review / Meta-Analysis]
Litaiem N (2026). [PMID: 41876960](https://pubmed.ncbi.nlm.nih.gov/41876960/). *Int J Dermatol*. [Review / Meta-Analysis]
Matwiejuk M (2026). [PMID: 41107622](https://pubmed.ncbi.nlm.nih.gov/41107622/). *Dermatol Ther (Heidelb)*. [Review / Meta-Analysis]
Redzic S (2026). [PMID: 32491660](https://pubmed.ncbi.nlm.nih.gov/32491660/). *Unknown Journal*. [Basic Science / Preclinical]
Berrim K (2026). [PMID: 39982780](https://pubmed.ncbi.nlm.nih.gov/39982780/). *Dermatitis*. [Case Report / Case Series]
Ramos D (2026). [PMID: 41732620](https://pubmed.ncbi.nlm.nih.gov/41732620/). *Cureus*. [Case Report / Case Series]
Mousa TY (2026). [PMID: 32491681](https://pubmed.ncbi.nlm.nih.gov/32491681/). *Unknown Journal*. [Case Report / Case Series]
Meyer-Ficca ML (2026). [PMID: 42107767](https://pubmed.ncbi.nlm.nih.gov/42107767/). *Adv Nutr*. [Case Report / Case Series]
Seki T (2026). [PMID: 41665963](https://pubmed.ncbi.nlm.nih.gov/41665963/). *JCI Insight*. [Basic Science / Preclinical]