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Cutaneous acneiform eruptions are a side effect of many medications, including vitamin B12 therapy. However, reports of vitamin B12–induced acne are rare. We present a 67-year-old woman with a new diagnosis of pernicious anemia who developed a sudden acneiform eruption on the face after treatment with high-dose vitamin B12. Other medications that have been implicated in drug-induced acne include but are not limited to steroids, antibiotics, immunosuppressants, biologics, and vitamin B1 and B6. The pathogenesis is likely due to a transcriptome change in Propionibacterum acnes, the organism responsible for acne vulgaris. Cessation of the offending agent leads to a regression in symptoms.

Let us help you have the informed birth you desire! Our class was designed and created to help take the fear out of childbirth through evidence-based research, education, and informed consent. Couples will be prepared for an empowered birth experience. *Registration fees include partner. This class will be 3 consecutive Mondays in a row. *Childbirth classes include a tour; you do not need to enroll in a standalone tour separately.

This class alternative is for couples who prefer learning in the comfort of their own home and at their own pace or for couples who are on bedrest or who have scheduling conflicts. This interactive program includes videos and illustrations that provides couples with the skills that are essential to an informed childbirth experience.