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Marrow - A 34 year old male was on maize as a staple diet for a prolonged period.He presented with diarrhea and lesion over his neck as shown in the image below.
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Keith Siau on Twitter: "This is known as Casal's necklace, a classic feature of pellagra due to niacin (Vitamin B3) deficiency #MedEd" / Twitter
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Dermatologic Manifestations of Pellagra: Practice Essentials, Pathophysiology, Etiology
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Pellagra: Pictures, Symptoms, Causes, and Treatment