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Original Article
Acute Hemorrhagic Pellagra in an Albanian Refugee
Chaidemenos GC, Mourellou O, Karakatsanis G, Koussidou T, Xenidis E, Charalampidou H, Avgoloupis D
Cutis
. 2002;69:96-98.
We report a peculiar case of hemorrhagic pellagra in an exhausted Albanian refugee who had walked for 3 days under sunny skies on his way from his country to Greece. The peculiarities of the case are the fulminant course of the disorder; the “terrifying” appearance of the patient (initially he was admitted to an emergency unit); the gangrenous appearance of the hemorrhagic lesions of the palms and fingernails; the disturbed hepatic function that gradually returned to normal; and the absence of a history of alcohol consumption, alcohol malabsorption, or drug intake.
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