Home  |  Journals  |  Conferences |   Membership  |   FAQ's Join  |  Contact  |   Sitemap  |             

International Journal of Clinical & Medical Images

ISSN: 2376-0249
Open Access
 
 
 

Alcoholic with Niacin Deficiency

Other Art Works

Image 01 Image 02
Image 03 Image 04
Image 05 Image 06
Image 07 Image 08
Image 09 Image 10
Image 11 Image 12
Image 13 Image 14
Image 15 Image 16
Image 17 Image 18
Image 19 Image 20
Image 21 Image 22
Image 23 Image 24
Image 25 Image 26
Image 27 Image 28
Image 29 Image 30

A 45 year old male truck driver by occupation chronic alcoholic, normotensive, non-diabetic, with hyper pigmented dermatological lesions on dorsum of hands, neck, scalp labeled as psoriasis with topical treatment was brought to emergency casualty with fever for 15 days. Patient was evaluated with complete blood counts showing bicytopenia (anemia and leucopenia) with absolute neutrophil count of 610 cells /μl. Chest x-ray was normal .USG abdomen was also normal except for grade 2 fatty liver.

Patient was managed as a case of febrile neutropenia without much improvement and his striking dermatological lesions and history of alcoholism warranted his management as pellagra (niacin deficiency). Patient was put on i.v niacin and after 48 hrs his counts and dermatological lesions and fever responded. Patient was continued on injectionvitcofol 1ml i.v OD ( each 1 ml contains folic acid 1.5 mg , niacin 20 mg , and vitamin B 12 50 μg ) for 1 week after which he was put on oral niacin 100 mg three times a day and advised to abstain from alcohol consumption and put on psychiatry and general medicine follow up

*Corresponding author: Pervaiz Majeed Zunga, Department of Internal Medicine, government medical college Srinagar, Karanagar, and Srinagar - 190 010, Kashmir, India, Tel: 8491046799, E-Mail: perpg781@gmail.com

 
 
© 2008-2013 OMICS Group - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version