Sallie Wombles Death Record, Knox County, Kentucky–15 October 1930 in Baughman, Knox County, Kentucky

 

http://www.rootsweb.ancestry.com/~kyknox/Death-Certificates/Certs-Html-6/Wombles-Sallie-25406.html

 

Cause of death is Pellagra

Pellagra is caused by a deficiency in niacin. This can occur in 2 ways:

• Primary pellagra results from inadequate niacin and/or tryptophan in the diet (mainly in developing countries or poverty stricken areas)
• Secondary pellagra occurs when there is enough niacin in the diet but something prevents its absorption and processing. Causes of secondary pellagra include:
  • Chronic alcoholism
  • Prolonged diarrhoea
  • Gastrointestinal diseases such as ulcerative colitis
  • Liver cirrhosis
  • Carcinoid tumours
  • Hartnup disease (tryptophan metabolism disorder)
  • Drugs e.g. isoniazid, azathioprine

What are the signs and symptoms of pellagra?

The classical triad of symptoms are diarrhoea, dermatitis and dementia.