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A 48-year-old man presented with a six-month history of irritated mouth angles, irritated genital skin, and red, burning eyes. On physical examination, he had blepharoconjunctivitis (Panel A), angular stomatitis (Panel B), a bright red and atrophic tongue, and dermatitis of the pubic area (Panel C). Findings on the remainder of the examination were unremarkable. For several months, the patient had been consuming approximately 150 g of alcohol daily and large quantities of beef and pork, but hardly any cereals or vegetables. Ultrasonography showed an enlarged, fatty liver. On routine laboratory testing, the hemoglobin level was 16.4 g per deciliter, the . . . [Full Text of this Article] |
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