Casal collar
| Casal collar | |
|---|---|
| A boy with casal collar caused by pellagra | |
| Specialty | Dermatology |
| Symptoms | Redness and darkening around neck |
| Causes | Pellagra |
| Differential diagnosis | Seborrheic dermatitis |
The Casal collar or Casal necklace is a medical sign in which there is a redness and darkening of the skin around the neck, seen in people with pellagra. It becomes prominent following exposure to sun, and can be itchy with a burning feeling and pain. It can blister and weep, and turn into thick dark skin, with a coppery hue. If prolonged, the skin becomes thin, dry and smooth.
The sign is caused by a lack of the niacin (vitamin B3). Seborrheic dermatitis may appear similar.
Casal collar is named after Gaspar Casal.