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do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency

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do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency

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do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency

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do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency

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do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency

A 68-year-old man develops fatigue, dark urine, and bluish discoloration of his fingers after exposure to cold weather. Laboratory tests show hemolytic anemia and a positive direct antiglobulin test for C3 only.

do brown fingernails indicate glutathione deficiency Total melanonychia of 20 nails as a rare manifestation of vitamin B12 deficiency
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