Pellagra is rare in India. During the last twelve years I have seen only two cases, both in Hindu widows more than 40 years of age. The first case, which was seen about two years ago, manifested the three typical groups of symptoms: cutaneous, gastro-intestinal and nervous. The patient died of the disease in spite of treatment by vitamins and arsenic. The second case was seen recently.
REPORT OF A CASE
Mrs. G., aged 60, had the disease for one year. She showed the three groups of symptoms. The dorsa of the hands and feet and the backs of the elbows were thickened, darkly pigmented and somewhat scaly. There was a zone of advancing redness round the pigmented areas. There was no disturbance in sensation. The patient had ulcers in the floor of the mouth, and salivation was so profuse that she could not sleep at night and had to