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PMID: 33144904 7 Skin Hyperpigmentation as Initial Manifestation of Vitamin B12 Deficiency: A Case of Delayed Diagnosis With Late-Onset Subacute Combined Degeneration of the Cord

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4 Department of Medicine, Townsville Hospital, Townsville, Australia 5 First point Healthcare, Launceston, Australia

Distinguished by raised serum angiotensin-converting enzyme, hilar lymphadenopathy (swollen lymph nodes at the centre of the lungs on chest imaging), and tighter, more discrete granulomas on biopsy

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