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[DOI] [PMC free article] [PubMed] [Google Scholar] 201.McCullough AJ

In this article, we will explore some of the various theories that are currently in circulation, which outline the cause as: Excessive production of porphyrin by skin bacteria stimulated by B12 A cobalt allergy Relative deficiency of vitamin B12 cofactors A detoxification reaction Vitamin B12 Acne The Work of Skin Bacteria

Garcia-GuerreroEGogishviliTDanhofSSchrederMPallaudCPerez-SimonJAet al

For people with no neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks, then administer hydroxocobalamin 1 mg intramuscularly every 23 months for life