wernicke encephalopathy/tryptophan

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Alcoholic Pellagra as a Cause of Altered Mental Status in the Emergency Department.

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BACKGROUND Pellagra, which is caused by a deficiency of niacin and tryptophan, the precursor of niacin, is a rare disease in developed countries where alcoholism is a major risk factor due to malnutrition and lack of B vitamins. Although pellagra involves treatable dementia and psychosis, it is

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