]> 2026-07-31T11:51:56+00:00 WBR1091 0 en Vit B1 deficiency Vit B2 deficiency Vit B3 deficiency Vit B6 deficiency Vit B12 deficiency Internal medicine Chetan Lokhande A 42-year-old sailor from Panama comes the office with symptoms of diarrhea. On enquiry he says that he has a history of on and off diarrhea from the past 8 years. He states that his appetite has been decreased recently and the episodes of diarrhea are often associated with nausea and vomiting. On examination vitals are temperature of 99 F, pulse of 76/ minute and respiratory rate of 12/ minutes. On examination of the skin a rash is noticed on the extremities. This rash resembles likes a sunburn and burns when touched. Abdominal examination and cardiovascular examination are insignificant. On examination of the tongue it appears to be swollen and dark red in color resembling like ”beef’’. Neurological examination doesn’t reveal any focal neurological findings except for an irritable mood and poor memory and concentration. What is the most likely cause of his symptoms? C Dermatology Gastrointestinal Preventive Medicine Psychiatry Biostatistics/ Epidemiology 2020-10-28T02:35:32Z 2459150.6080093 WBR1091