rash nejm peds causes im clinical ct derm management treatment vitamin wickhams b12 diagnosis

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Vitamin B12 (Cobalamin) Deficiency
Etiology:
• Vit B12 - aka cobalamin. Present in foods derived from animal

Vitamin B12 (Cobalamin ... • Common Causes ... • P/E - GI and derm ... , can consider IM ... #management #nutrition

Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms

sawtooth rete pegs ... confirming the diagnosis ... used in primary treatment ... #NEJM #clinical ... lichen #planus #derm

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