Abstract
The fifty-five patients were examined at the Illinois State Hospital for the Insane at Bartonville, Ill. The psychoses of these patients showed such types as epileptic insanity, dementia praecox, manic depressive insanity, imbecility, puerperal mania, paranoia, senile dementia, and a few unclassified conditions. An equal number of patients displaying psychoses of the same classes, but having no symptom of pellagra, were examined and used as controls. The ages of the patients with pellagra varied from 22 to 70 years, with an average age of 48 years, and of the 55 patients there were 9 males and 46 females. Seventeen showed no abnormality of the eyes, either in the muscular apparatus, lids, pupil reactions or the fundus. The only symptom that I found involving the lid was ptosis, which was present in one case, but Manson 1 states that this is not an uncommon sign. Paralysis of the external
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