A case of non-alcoholic pellagra following gastrectomy
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- Nagaishi Akiko
- Department of Neurology, Kanazawa Medical University
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- Tanabe Hiroshi
- Department of Dermatology, Kanazawa Medical University
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- Ueno Masakatsu
- Department of Neurology, Kanazawa Medical University
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- Matsui Masaru
- Department of Neurology, Kanazawa Medical University
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- Matsui Makoto
- Department of Neurology, Kanazawa Medical University
Bibliographic Information
- Other Title
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- 胃切除後に生じた非アルコール性ペラグラの1例
- イ セツジョゴ ニ ショウジタ ヒアルコールセイ ペラグラ ノ 1レイ
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Abstract
A 67-year-old man was admitted to our hospital in May 2006 because of gait disturbance, delirium and myoclonus along with dermatitis and diarrhea. Those symptoms became worse in 3 months. He had undergone a gastrectomy, including a fundectomy and jejunal pouch interposition, for early gastric cancer at the age of 65 years. He had no habit of drinking alcohol or unbalanced diet. The triad of typical dermatitis, delirium, and diarrhea led to a diagnosis of pellagra, and all the symptoms disappeared after intravenous administration of nicotinate and vitamins.<br> With a gastrectomy, fundectomy performed with jejunal pouch interposition has been regarded as a superior method for postoperative nutrition, but may cause vitamin deficiency. Thus, vitamin deficiency must be considered as a potential cause in neurologic patients who underwent surgical treatment for disorders of digestive tract, regardless of the procedure utilized.<br>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 48 (3), 202-204, 2008
Societas Neurologica Japonica
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Details 詳細情報について
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- CRID
- 1390001205036652416
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- NII Article ID
- 10021187339
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- NII Book ID
- AN00253207
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- ISSN
- 18820654
- 0009918X
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- NDL BIB ID
- 9421127
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed