Abstract

A 57-year-old female was referred for evaluation of facial rash and painful lesions in the gingiva, lips, and perioral region. Mouth sores and a fungal infection were initially presumed to be the cause, and the patient was treated with magic mouthwash and Nystatin, respectively. Later on, it was ascertained that the lesions were secondary to excessive intake of vitamin B12. (The lesions were later found to be actualizing from an excessive intake of vitamin B12.) This case-report aims to emphasize the importance of carefully analyzing a patient’s intake of all the prescribed medications as well as over the counter (OTC) dietary supplement to determine any drug interactions and/or overdoses.

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