[:es]Pelagra o enfermedad de las tres D.[:]

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Se trata de un paciente de la raza negra de 68 años de edad con SIDA estadio 4 admitido en sala de medicina de HGH con severos signos de malnutrición con pérdida de más de el 10porciento de su peso corporal en franco wasting síndrome con manifestaciones demenciales ,diarreas liquidas cuantiosas y lesiones dermatológicas piel seca decamada con lesiones escoriativas y decamativas,  pelo ralo y quebradizo con signos de anemia severa y edemas periféricos, esta enfermedad desencadenada por la deficiencia de nutrientes esenciales vitaminas liposolubles e hidrosolubles específicamente la niacina  nicotinamida o vitamina b3, es la llamada PELAGRA o también conocida como la enfermedad de las tres D.

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