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Image 1:
This patient was seen in 1973 in Nairobi. She presented with diarrhea, lethargy, and slow mentation as well as the skin problem noted here.
Diagnosis:
Pellagra. A Casal's necklace around the neck is noteworthy.
Clinical Vignette 1
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Image 1:
This patient was seen in 1973 in Nairobi. She presented with diarrhea, lethargy, and slow mentation as well as the skin problem noted here.
Pellagra. A Casal's necklace around the neck is noteworthy.