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Visual Treats in Dermatology
2021
:1;
35
doi:
10.25259/CSDM_41_2021

Dyssebacia, angular cheilitis, and red tongue: Pointing fingers to riboflavin (Vitamin B2) deficiency

Department of Dermatology,Venereology and Leprology, BLDEAÂ’S SBMP Medical College, Hospital and Research Centre, BLDE Deemed University, Bijapur, Karnataka, India
Corresponding author: Arun C. Inamadar, Department of Dermatology,Venereology and Leprology, BLDEAÂ’S SBMP Medical College, Hospital and Research Centre, BLDE Deemed University, Bijapur, Karnataka, India. aruninamadar@gmail.com
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Inamadar AC. Dyssebacia, angular cheilitis, and red tongue: Pointing fingers to riboflavin (Vitamin B2) deficiency. CosmoDerma 2021;1:35.

A 30-year-old lactating lady presented skin OPD for the skin lesions over face of 2 months duration. There was no history of diarrhea, weakness, fatigue, depression, and mood changes. She was strict vegetarian without access to dairy products also. There was no history of taking – anticholinergic, anticonvulsants, phenothiazine, and phenytoin. Skin examination revealed dyssebacia, angular cheilitis, and bald tongue [Figure 1]. In view of the classic signs – a clinical diagnosis of riboflavin deficiency was made.

Figure 1:: Image showing dyssebacia, angular cheilitis, and bald tongue.

Cheilosis, vertical fissuring of lips (perlèche) and corners of the mouth (angular stomatitis), a purplish raw, smooth tongue with loss of papillary structure, and dyssebacia (early seborrheic dermatitis such as picture over nose and nasolabial folds) are well-described features of riboflavin deficiency[1] as found in the index case.

Declaration of patient consent

Patient’s consent not required as patients identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  1. , . Skin findings associated with nutritional deficiencies. Cleve Clin J Med. 2016;83:731-9.
    [CrossRef] [Google Scholar]

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