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OCR: cardiac Around twenty per cent of patients hav e right side valve abnormalities, usually affecting tl of the heart. These lesions result from t isting of formation of plaques on the valves, con The most smooth muscle in a collagenous strom ence and common findings are tricuspid incomp associated pulmonary stenosis, and these are often valve with severe right heart failure. Left-side inoids are lesions in association with bronchial car amide rarely found. Pellagra may occur, nicoti onversion deficiency resulting from the increased of 5-hydroxytryptophan into 5HT.