Abstract
An 18-year-old man presented with recurrent jaundice over the past 2 years. Physical examination indicated severe pallor, icterus, and glossitis. Systemic evaluation indicated Kayser-Fleischer rings on slit-lamp examination. Laboratory parameters indicated severe anemia and indirect hyperbilirubinemia with normal liver enzymes. Further evaluation indicated a diagnosis of severe nutritional vitamin-B 12 deficiency. Here, we report the unusual case of the presence of Kayser-Fleischer-like rings in a patient with severe vitamin-B 12 deficiency.
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