Concept:
Niacin (Vitamin B3) is crucial for energy metabolism. Its severe deficiency leads to a disease called Pellagra.
• Pellagra was historically common in populations dependent on corn (maize) as a staple.
• The symptoms follow a distinct clinical pattern known as the "Ds."
Step 1: Identifying the primary symptoms.
The three classic clinical manifestations are skin issues, digestive issues, and mental issues.
Step 2: Defining the 3Ds.
1. Dermatitis: Scaly, dark skin rashes on areas exposed to sunlight.
2. Diarrhoea: Significant gastrointestinal distress.
3. Dementia: Mental confusion, memory loss, and disorientation.
Step 3: The fourth D.
If left untreated, Pellagra leads to a fourth "D"—Death.
However, the standard diagnostic characterization uses the 3Ds.
Final Answer: (B)