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Cyto Enzymol

W.CampbellK

Keywords: cutaneous manifestation of vitamin b12 deficiency, adisonian mimick, vitamin b12 deficiency symptoms, cutaneous hyperpigmentation, hyperpigmentation Introduction The deficiency of vitamin B12 can cause specific skin manifestations, such as hyperpigmentation, vitiligo, angular stomatitis, and hair and nail changes [1]

This included polydrug use in which tianeptine was being used on the same occasions as other substances or as part of the same longer-term pattern of use (within weeks or months) with myriad licit and illicit substances