title: Reversible ecchymosis and hyperpigmented lesions: A rare presentation of dietary Vitamin B12 deficiency.
abstract: A 40-year-old male presented because of generalized weakness, fatigability, and hyperpigmentation with ecchymosis, he was diagnosed to have dietary Vitamin B12 deficiency anemia. The hyperpigmentation and ecchymosis lesions resolved after Vitamin B12 supplementation. Beside hyperpigmented lesion on the skin, the presence of ecchymosis is a very rare manifestation of the disease. Thrombocytopenia in Vitamin B12 deficiency anemia rarely leads to ecchymosis.
authors.affiliation: Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
authors.forename: Hans Raj
authors.initials: HR
authors.lastname: Pahadiya
authors.affiliation: Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Lakhotia
authors.affiliation: Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
authors.forename: Sukhdev
authors.initials: S
authors.lastname: Choudhary
authors.affiliation: Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
authors.forename: Gopal Raj
authors.initials: GR
authors.lastname: Prajapati
authors.affiliation: Department of Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India.
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Pradhan
keywords: Ecchymosis; Vitamin B12 deficiency; hyperpigmentation