Pellagra is a vitamin deficiency disease most frequently caused by a chronic lack of niacin (vitamin B3 or synonym: vitamin PP (from: Pellagra Preventing factor)) in the diet. It can be caused by decreased intake of niacin or tryptophan, and possibly by excessive intake of leucine. It may also result from alterations in protein metabolism in disorders such as carcinoid syndrome or Hartnup disease. A deficiency of the amino acid lysine can lead to a deficiency of niacin, as well.
Pellagra is classically described by "the three Ds": diarrhea, dermatitis, dementia. A more comprehensive list of symptoms includes:
Searching, the abstract colours reason
But I persist to fail in the absence of faith
Cycles bound by throes of attrition
Oft united, yet surely more is lost in time
Beyond fathom, billions firing
Flashes burn and spew prostrate
Wisped monads from crimson puncture
Our bonds are broken, all meaning sundered
Striving for constant reduction
Bursting from the pit beneath
Unyielding yet beyond the grasp
Of scale and form
Nothingness born
Fleetingly
Of sprawl and flame
From nothing it came
Seemingly
The gap between us tears apart
Impel our end
Layers surge and strip away
Cast into nought
Of matter torn
As eons I mourn
Achingly
Of atoms maimed
As epochs are tamed
Blindingly
In that final absence,