烟酸缺乏病误诊病例报告

• 作 者: 曾章 牛长秀
• 机 构: 济宁医学院附属医院皮肤科,济宁医学院附属医院皮肤科,
• 出 处: 济宁医学院学报
• 发表日期: 1987年01期
• 关键词: 烟酸缺乏病 病例报告 营养缺乏病 非典型病例 感觉异常 慢性消耗 陪拉格 四肢末端 全身无力 营养素缺乏

烟酸缺乏病是一种以慢性消耗为特征的营养缺乏病,侵犯消化道、神经系统和皮肤。其典型临床表现为皮疹、胃肠及神经系统症状,但缺乏皮疹的非典型病例易被误诊或漏诊。现将一例长期误诊病例报告如下:患者男,28岁,农民。于就诊前四个月出现原因不明之腹泻、失眠、四肢末端感觉异常,烦燥和性格改变。曾诊断为肠炎、神经炎等,在某医院住院治疗。因病情无改善且暴露部位皮损加重,遂来我院皮肤科就诊。患者有长期大

Nicotinic acid deficiency is a nutritional deficiency characterized by chronic depletion that invades the digestive tract, the nervous system and the skin. The typical clinical manifestations of rash, gastrointestinal and nervous system symptoms, but the lack of rash atypical cases easily misdiagnosed or missed diagnosis. A case of long-term misdiagnosis is now reported as follows: Male patient, 28 years old, farmer. In the first four months of treatment, unexplained diarrhea, insomnia, abnormal sensations in the extremities, irritability and personality changes were observed. Had diagnosed as enteritis, neuritis, hospitalized in a hospital. Because of no improvement in the condition and exacerbations of skin lesions, then come to our hospital dermatology clinic. Patients have long-term big