iIntroduction:/i Anaemia is defined as a decrease in the total amount of RBCs or haemoglobin in the blood. Anaemia patients show skin signs like pallor, koilonychias, and hair loss. iAim:/i The aim of the study is to find the cause of typical rash and confirm the diagnosis. iMaterials/Methods:/i This retrospective study involves collection of 26 patients showing typical skin lesions. All subjects involved in this study are categorized according to age, sex, type of lesions and site involved. All were investigated for hematological parameters mainly haemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH). Everyone was showing reduced parameters with microcytic hypochromic red blood cells suggesting iron deficiency anaemia. These patients were further investigated for other causes of anaemia and diagnosis was confirmed by serum iron levels, total iron binding capacity, serum ferritin and transferrin saturation. Other causes like zinc deficiency, pellagra, contact dermatitis were also ruled out. iResults:/i Almost all patients are females except two males. Majority of them are young females. The skin lesions can present isolated on face or hands or both sites. Each and every subject is confirmed to have iron deficiency anemia. iLimitations:/i This is a single center study. iConclusion:/i These typical eczematous hand and perioral lesions were highlighting the importance of looking for iron deficiency in affected patients without a more obvious cause.
Bhokare Balkrishna (Mon,) studied this question.