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Over the following few days, the eroded blister progressed into a necrotic ulcer with black anesthetic eschar with a surrounding large tender ill-defined indurated erythematous plaque (Figure 1).The patient applied neomycin to the ulcerated area and covered with a bandage prior to presentation, but this did not provide any relief.At presentation, she was afebrile and had no leukocytosis

This type of anemia is caused by a lack of the intrinsic factor needed to support red blood cell production

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