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於1977年遇见一例以神经系统改变为首发症状之烟酸缺乏病,现报告如下: 患者男 19岁农民,於76年春无何诱因自觉双足烧灼感,继之麻木、疼痛。一个月后双手亦有相同症状。且双小腿发紧、无力、疼痛,并有走路不灵活。以上症状逐渐加重,虽经对症给神经营养药治疗,但症状无明显改善。半年后上述症状加重。并常有便秘或腹泻,排便时伴肛门疼痛。患者常常舌疼,食欲差。眼眶周围及面部起红斑,以后暴皮、脱屑。双手背部亦起红斑并逐渐扩延至
In 1977 met a case of neurological changes as the first symptom of niacin deficiency, are reported as follows: Male 19-year-old male patient, no inducement in the spring of 76, spontaneous bipolar burning sensation, followed by numbness and pain. A month later both hands have the same symptoms. And double calf tightness, weakness, pain, and walking are not flexible. The above symptoms gradually aggravated, although symptomatic neurotrophic drug treatment, but no significant improvement in symptoms. Six months after the above symptoms worsened. And often constipation or diarrhea, defecation with anal pain. Patients often have a sore tongue and poor appetite. Orbital and facial erythema, after the storm skin, scaling. Hands also play an erythema on the back and gradually extended to