Hartnup Syndrome (pellagra-Cerebellar Ataxia-Renal Aminoaciduria Syndrome; H Disease; Niacin Deficiency)
General: Recessive; inborn error in amino acid metabolism with abnormal metabolism of tryptophan; both sexes affected; presents from infancy.
Ocular: Ectropion; symblepharon; nystagmus; scleral ulcers; corneal leukoma; photophobia; diplopia during attacks.
Clinical: Dermatitis (similar to pellagra) with skin eruptions; progressive mental retardation; cerebellar ataxia.
McLaren DS. Cutaneous changes in nutritional disorders. In: Fitzpatrick TB, Eisen AZ, Wolff K, et al., eds. Dermatology in General Medicine, 3rd ed. New York: McGraw-Hill, 1987:1601-l613.
Scriver CR. Hartnup disease: a genetic modification of intestinal and renal transport of certain neutral alpha-amino acids. N Engl J Med 1965; 273:530.
Singh S, et al. Hartnup disease: a case report. Ind Pediatr 1978; 15:191-l93.
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