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35 years old asian lady complaint of loose stools, abdominal pain, gives history of forgetting things recently. Complaints of photosenstive rash on face and arms, hyperkeratosis of skin observerd, gives h/o unhealthy eating habit. h/o ulcerative colitis in her mother. what is your diagnosis.
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Acute intermittent porphyria?
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No.. U didnt hit target.. think about unhealthy eating habit
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ddd demencia,dermatit ,diarhia Pellagra
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Stumped....
Neurological symtoms, unhealthy eating habits,gastro symptoms but no renal manifestations...?? H.U.S.?
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if not these u have to bild case to look like exam case.That is not the way they ask on the exam . And he hardest part is to make a options for answer.
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Oh yeah... 4D's. Its so obvious now. wtg mamamia
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yeah, its pellagra(niacin deficiency)
dermatitis/ dementia/ diarrhea
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U are so right guys..........It is pellagra. Unhealthy eating habits denotes towards eating only corn based diet..I made it up .Hope it helped u...