title: Generalised hyperpigmentation in vitamin B12 deficiency.
abstract: In developing countries like India, nutritional deficiencies are prevalent and hyperpigmentation due to protein energy malnutrition, zinc deficiency and pellagra are common. Indian women, especially vegetarian are prone to vitamin B12 deficiency. Vitamin B12 deficiency can present as anaemia, neurological defect, gastrointestinal symptoms or dementia. Hyperpigmentation as the first presentation of Vitamin B12 deficiency is rare. Our patient, a 45 year-old Hindu vegetarian female presented to us with generalized hyperpigmentation. Examination revealed associated anaemia and peripheral neuropathy. Laboratory investigation confirmed vitamin B12 deficiency. Clinical features along with hyperpigmentation improved with vitamin B12 supplementation. We report this case to highlight this rare manifestation of vitamin B12 deficiency. A high index of clinical suspicion is warranted to diagnose the case. Since India is a country with a large number of potential vitamin B12 deficiency cases, the physicians need to be aware of all the varied manifestations of this vitamin deficiency. In case of hyperpigmentation, nutritional aspect must be ruled out as it is reversible. Early replacement therapy may also help to prevent morbidities like dementia and neuropathy.
authors: Gouranga
authors: G
authors: Santra
authors: Rudrajit
authors: R
authors: Paul
authors: Sumit Kr
authors: SK
authors: Ghosh
authors: Debojyoti
authors: D
authors: Chakraborty
authors: Shubhabrata
authors: S
authors: Das
authors: Sourav
authors: S
authors: Pradhan
authors: Abhishek
authors: A
authors: Das
mesh_terms: D014676:Diet, Vegetarian / Q000009:adverse effects; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology*; D008875:Middle Aged; D014806:Vitamin B 12 Deficiency / Q000150:complications*