Title: Pellagra

Identifier: LL02.49.00.63   (https://digital.lib.ecu.edu/21169)

Description: Dermatologic stereoview card. Front of card shows a person whose hands and wrists have Pellagra. The reverse of the card describes the dermatologic conditions as well as the diagnosis and treatment. Pellagra is and endemic, chronic, non-contagious, systemic disease characterized by recurrent symptoms referable to disturbances of the central nervous system and the digestive tract, and by peculiarly distributed skin lesions of an erthemato-squamous and pigmentary character. After a period of more or less marked asthenia, often accompanied by attacks of headache, dizziness, epigastric pains and diarrhea, the cutaneous eruption appears usually late in the spring or sometime in the summer. The distribution of the rash is nearly always symmetrical. The backs of the hands are invariably affected; the other regions that may be involved in combination with the hands are the forearms, the dorsal surface of the feet, the face in women and children only, the neck and very rarely the extensor surfaces of the knees and elbows, and the scrotum. On the middle finger of the patients left hand is a gold ring with a north south oval shape at the base and made up of one red diamond cut stone at the top and bottom of the oval. This ring also has three white diamond cut stones placed from east to west across the middle portion of the ring. On the right hand there is a gold ring that is court cut; this ring is worn on the ring finder of the right hand.