Scientists at Harper University target pellagra.

Cancer Weekly | March 17, 2009 | Copyright

"Pellagra is a rare clinical syndrome caused by niacin deficiency, and although most commonly nutritional in origin, may be secondary to carcinoid syndrome. A premenopausal nulliparous woman with metastatic carcinoid tumor developed isolated vulvovaginal manifestations characterized by well-demarcated symmetrical vulvar erythema, mild scaling, ulcerations, and dyspareunia," investigators in the United States report (see also Pellagra).

"Tryptophan levels were low. Treatment with nicotinamide resulted in dramatic improvement; however, after 2 years of effective ...

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