Diagnostic Code 6315 · 38 CFR §4.88b
Pellagra is caused by severe niacin (vitamin B3) deficiency, characterized by dermatitis, diarrhea, and dementia. It is a presumptive condition for former POWs. Permanent neurological damage may remain if untreated for too long.
| Rating | Criteria |
|---|---|
| 10% | Confirmed diagnosis with nonspecific symptoms such as decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability. |
| 20% | Stomatitis (mouth inflammation), or achlorhydria (absent stomach acid), or diarrhea. |
| 40% | Stomatitis with diarrhea and symmetrical dermatitis all present together. |
| 60% | All symptoms listed for the 40 percent level plus mental symptoms and impaired bodily vigor. |
| 100% | Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia. |
Lab results confirming niacin deficiency. Medical records documenting pellagra and its three manifestations. POW documentation if applicable. Treatment records. Documentation of permanent damage.
Yes, for former POWs detained 30 or more days.
Yes. Pellagrous dementia can become permanent if left untreated long enough. Even after niacin is restored, some cognitive impairment may persist.