Step 1: Pellagra is a niacin (vitamin B3) deficiency disorder, classically remembered by the 4 D's: dermatitis, diarrhoea, dementia and death.
Step 2: Maize is poor in available niacin and, more importantly, is rich in the amino acid leucine. Excess leucine interferes with the conversion of tryptophan to niacin, aggravating the pellagragenic effect of a maize-based diet.
Step 3: This explains why pellagra is reported in maize and jowar (sorghum) eating populations, such as the Telangana region. Hence option b is correct.
Step 4: The distractors relate to other vitamins. Wernicke's encephalopathy and beri-beri are thiamine (B1) deficiencies, and scurvy is vitamin C deficiency, so none links to maize.