0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

PELLAGRA OF KENTUCKY MOUNTAIN FOLK:  AMBULATORY TREATMENT WITH NICOTINIC ACID

JOHN H. KOOSER, M.D.; M. A. BLANKENHORN, M.D.
JAMA. 1939;112(25):2581-2584. doi:10.1001/jama.1939.02800250005002.
Text Size: A A A
Published online

Since remarkable results of nicotinic acid treament of acute pellagra have been reported from numerous sources1 it naturally follows that the same treatment should be tried in recurrent and chronic forms of the disease as seen in an ambulatory clinic. The application of dietary measures, even with the aid of yeast, has not been satisfactory with the ambulatory patient. Now, with an inexpensive and easily administered remedy, so-called control of the disease could be attempted. At the invitation of the Frontier Nursing Service, Inc., of Kentucky and the Health Department of Perry County, the treatment of ambulatory cases among mountain folk was started in April 1938 in a public health clinic. The study and methods of treatment were similar to those used by the University of Cincinnati, under the guidance of Dr. Tom D. Spies, at Birmingham, Ala.2 Unlike the clinic treatment recently described from Augusta, Ga.,3

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();