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Year : 2016  |  Volume : 29  |  Issue : 1  |  Page : 179-180

Kayser-Fleischer-like rings in a patient with vitamin-B 12 deficiency

Department of Medicine, Military Hospital, Ranchi, Jharkhand, India

Correspondence Address:
Sanjay Singhal
MD, PDCC, Department of Medicine, Military Hospital, Namkum, Ranchi, Jharkhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.179012

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An 18-year-old man presented with recurrent jaundice over the past 2 years. Physical examination indicated severe pallor, icterus, and glossitis. Systemic evaluation indicated Kayser-Fleischer rings on slit-lamp examination. Laboratory parameters indicated severe anemia and indirect hyperbilirubinemia with normal liver enzymes. Further evaluation indicated a diagnosis of severe nutritional vitamin-B 12 deficiency. Here, we report the unusual case of the presence of Kayser-Fleischer-like rings in a patient with severe vitamin-B 12 deficiency.

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