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Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
FILGUEIRAS, Fernanda de Marca; STOLARCZUK, Dionne de Almeida; GRIPP, Alexandre Carlos and SUCCI, Isabel Cristina Brasil. Benign symmetrical lipomatosis and pellagra associated with alcoholism. An. Bras. Dermatol. [online]. 2011, vol.86, n.6, pp.1189-1192. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962011000600021.
A 42-year-old male patient, alcoholic, presented showing signs of tumors in the neck and around the shoulders, scaly, erythematous-violaceous lesions and some bullous lesions in sun-exposed areas of upper and lower limbs. Based on clinical features, laboratory tests and imaging studies we have established the diagnosis of pellagra associated with benign symmetrical lipomatosis, both justified by chronic alcoholism. Treated with intravenous B-complex and oriented about the importance of alcohol withdrawal, the patient showed complete remission of skin lesions, but with no change in the lipomatosis.
Keywords : Alcoholism; Lipomatosis, multiple symmetrical; Niacin; Pellagra.