Casal collar

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.

It is caused by a lack of the vitamin niacin (vitamin B₃). Seborrheic dermatitis may appear similar.

The sign is named after Gaspar Casal.