Concluded Case

26 yr unmarried female having such type of discolouration since 3-4 yrs. no itching. Both thumb nails c/o mild pain. dx & rx ?

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Concluded answer

Acral Melanosis

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IT'S A CASE OF.. HYPER PIGMENTATION OF KNUCKLES.. IT IS DUE TO VITAMIN B12 DEFFICIENIES.. COMMONLY SEEN IN.. MALABSORPTION.. ANEMIA..

Tnx a lot Dr Azher Khan
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Hyperpigmentation of skin.. main causes are Vitamin deficiency, Malnutrition and Diabetic Acanthosis. Acanthosis is more central and larger in size. In her case it must be B12 deficiency.

Thank you doctor
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Acral melanosis Due to Pernicious anemia Megaloblastic anemia B12deficiency Acral acanthosis nigaricans Addison's disease FDE HEAVY METAL POISONING

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Deficiency of vit. B12 causing hyperpigmantation of knuckles

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Acral Melanosis

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1

Megaloblastic anaemia Vitamin B12

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Hyperpigmentation due to vit B 12 deficiency.wth onychomycosis both thumbnail.

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Acral melanosis

Acral Melanosis

Pellagra

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