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. 2020 Jul 24;7(1):85–90. doi: 10.1016/j.ijwd.2020.07.006

Table 1.

Dermatologic and other clinical findings associated with select nutrient deficiencies.

Vitamin Mucocutaneous signs of deficiency Other clinical signs Comments/references
Zinc Eczematous or psoriasiform patches and plaques in a periorificial, acral, and anogenital distribution, ± bullae; glossitis Secondary infection; yeast overgrowth; alopecia; diarrhea (Golden, 1991)
Thiamine (B1) Glossitis Beriberi (wet or dry); neurologic changes; cardiovascular dysfunction; edema (Lonsdale, 2018)
Riboflavin (B2) Glossitis; cheilitis; stomatitis; seborrheic dermatitis-like rash Normochromic normocytic anemia (Saedisomeolia and Ashoori, 2018)
Niacin (B3) Photosensitive pigmented dermatitis; “Casal’s necklace” Diarrhea; dementia; glossitis; neurologic symptoms Nixtamalization (alkaline treatment) of corn/sorghum enhances niacin availability (Kirkland and Meyer-Ficca, 2018)
Pyridoxine (B6) Stomatitis; glossitis; cheilosis; seborrheic dermatitis-like rash Neurologic symptoms; neuropathy; seizures; microcytic anemia (DiBaise and Tarleton, 2019)
Iron Atrophic glossitis; pruritus; hair loss; koilonychia; xerosis; pallor Microcytic hypochromic anemia; tachycardia; fatigue; exercise intolerance; restless leg syndrome; beeturia (Lopez et al., 2016)
Folate (B9) Pallor; jaundice; oral ulcers Megaloblastic anemia; fatigue; irritability; neurocognitive changes Can develop rapidly (Green and Datta Mitra, 2017)