[ noun ] severe malnutrition in children resulting from a diet excessively high in carbohydrates and low in protein <noun.state>
Pellagra \Pel"la*gra\ (p[e^]l"l[.a]*gr[.a]), n. [It. pelle skin + agro rough.] (Med.) An affection of the skin, characterized by redness, especially in exposed areas, scaling and shedding of the skin, and accompanied with severe gastrointestinal disturbance and nervous symptoms. It is due to a deficiency of niacin in the diet, and may be caused by malnutrition, or, in some cases, by a heavy dependence on maize for food. It was at one time (ca. 1890) endemic in Northern Italy, and was called {Alpine scurvy}. It may also be caused by alcoholism or diease causing an impairment of nutrition. It is also called {St. Ignatius's itch}, {maidism}, {mal de la rosa}, {mal rosso}, and {psychoneurosis maidica}. A variety of pellagra seen in children is called {infantile pellagra} or {kwashiorkor}. --[Stedman] [1913 Webster +PJC]
When small children are weaned in those countries, they cannot eat enough of the beans or rice to provide the protein milk has given them, and millions suffer from kwashiorkor, a protein-deficiency disease that stunts growth.