CASE STUDY OF VITAMIN B12 DEFICIENCY CAUSING HYPERPIGMENTATION Authors: Syed Kashif Mohiuddin
ABSTRACT
Vitamin B12 has an important role in synthesis of DNA. Deficiency of vitamin B12 is
associated with hematologic, neurologic, psychiatric, gastrointestinal, dermatologic, and
cardiovascular conditions. Vitamin B12 deficiency is also a common cause of megaloblastic
anaemia. It is a cause of peripheral neuropathy, sub acute combined degeneration of the
spinal cord, ataxia, optic atrophy, psychosis, depression, and dementia [1]. It is a possible risk
factor for thrombosis, myocardial infarction, and stroke [1].
Vitamin B12 deficiency causes skin hyper pigmentation, vitiligo (depigmentation), angular
chelitis, and hair changes. A diagnosis of vitamin B12 deficiency is mostly ignored in its
early stages because these signs are not specific only to vitamin B12 deficiency.
Vitamin B12 is present only in meat, it cannot be synthesized in the human body, and must
be supplied in the diet. Hence, a detailed history of food and dietary habits is needed when
evaluating the patient
Keywords: Vitamin B12, Hyperpigmentation, Megaloblastic anaemia Publication date: 01/01/2023 https://ijbpas.com/pdf/2023/January/MS_IJBPAS_2023_6763.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2023/12.1.6763