The patient, unconscious, was brought to the emergency room with a blackish pigmentation mark on the chest. Vital signs are stable, with a Glasgow Coma Scale (GCS) score of 8 out of 15. Kindly provide an appropriate diagnosis.

  • #dermatology
  • #general medicine

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Dr. Badisa Durgarao

Dr. Badisa Durgarao

General Medicine Specialist

· Vijayawada

Casal necklace pattern :niacin deficiency

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