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The latter, characterized by confusion, ataxia, and oculomotor abnormalities, highlights the importance of thiamine in preventing severe neurological complications (, )

Certain medications, including antibiotics, antiarrhythmics, and antimalarial drugs, can also cause hyperpigmentation

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While a lack of vitamin B12 can lead to serious neurological problems, this patient's quick response to treatment and absence of neurological symptoms suggested a favorable prognosis