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A low red blood cell count can cause headaches, fatigue, weakness, and dizziness (B5, B9)

As in this patient, abdominal symptoms can precede the rash (15% of cases) and may initially obscure the diagnosis

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Based on this scale, the drug intake, the sudden onset and the dermatological examination, the patient was diagnosed with vitamin B12-induced acneiform eruption

Dynamic proctography is indi- cated for fecal incontinence when clinical features suggest excessive perineal descent, a clinically significant rectocele (eg, in patients who splint the vagina to facilitate rectal emptying), an enterocele, or internal rectal intussusception