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References

• The standard treatment of pellagra is oral nicotinamide (niacinamide) supplementation.
• The commonly accepted dosage regimen is 300 mg daily divided into 3–4 doses.
• Therapy should last 3–4 weeks.
• It is vital to administer preparations of other group B vitamins as well, because patients with pellagra often suffer from multivitamin deficiencies.
• Zinc supplementation may be considered too.
• Topical treatment is based on the application of emollients (to reduce skin dryness) and photoprotection, according to the commonly accepted principles.
• Improvement usually occurs within a few days, with skin lesions subsiding as first.

DOI: 10.24425/fmc.2021.138956