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Read professional profile Dr Giedre Narkiene Medical doctor and board-certified dermatologist with expertise in medical and cosmetic dermatology, skin health and patient safety

The most common skin manifestations include a pale, washed-out complexion from anemia, dryness and cracking (particularly at the corners of the mouth), hyperpigmented patches on the hands or face, and glossitis a swollen, smooth, unusually red tongue

Localized injections may still have a role in some situations, but healing is usually influenced by much more than simply placing a needle into the exact area of pain

When should treatment be paused or adjusted