26 yr unmarried female having such type of discolouration since 3-4 yrs. no itching. Both thumb nails c/o mild pain. dx & rx ?
Acral Melanosis
IT'S A CASE OF.. HYPER PIGMENTATION OF KNUCKLES.. IT IS DUE TO VITAMIN B12 DEFFICIENIES.. COMMONLY SEEN IN.. MALABSORPTION.. ANEMIA..
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.
Acral melanosis Due to Pernicious anemia Megaloblastic anemia B12deficiency Acral acanthosis nigaricans Addison's disease FDE HEAVY METAL POISONING
Acral melanosis
Acral Melanosis
Pellagra
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