Abstract
W. L. Bender has recently recorded three instances of carcinoma of the stomach associated with pellagra. 1 He could find in the literature only two similar reports. One, by Rolph, 2 recorded a woman with a skin eruption, glossitis, pharyngitis and mental symptoms considered typical of pellagra, coming on four months before death. At death, a carcinoma of the stomach was found. The carcinoma was located in the cardia and mechanically interfered with the passage of food into the stomach. The second, by Bryan, 3 concerned a patient with symptoms of peptic ulcer for twenty years who developed a dermatitis and stomatitis typical of pellagra. This patient had a carcinoma of the stomach, which was resected, and in two months the skin lesions had completely disappeared. Three instances of acute pellagra following operations for suspected gastric ulcer are cited by Graves. 4 Bender reports three instances. In one, a patient
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More From: JAMA: The Journal of the American Medical Association
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