Smooth purple tongue and they have complained of muscle
fatigue/weakness is a sign of pellagra.
Niacin, one of the B complex vitamins, or tryptophan deficiency can lead to the illness of pellagra (an amino acid).
Too little niacin or tryptophan in the diet can result in pellagra. It might also happen if the body doesn't take these nutrients in properly.
Pellagra may also appear as a result of:
The disease of the digestive system
Surgery for bariatric weight loss
Anorexia
consuming alcohol too much
The cancer syndrome (group of symptoms associated with tumors of the small intestine, colon, appendix, and bronchial tubes in the lungs)
A few drugs, including chloramphenicol, isoniazid, 5-fluorouracil, 6-mercaptopurine, pyrazinamide, hydantoin, ethionamide, and phenobarbital.
In regions of the world (including some regions of Africa), where people consume a lot of untreated corn, the disease is prevalent.
Tryptophan is scarcely present in corn, and the vitamin niacin is closely bound to other elements of the grain.
If corn is left in limewater for an entire night, the niacin will come out. In Central America, where pellagra is uncommon, tortillas are prepared using this technique.
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