Reversible Hyperpigmentation and Paraparesis: A Simple Remedy!

We evaluated a 6-year-old, previously healthy boy with darkening of hands and feet for the past 4 months and gait abnormality for the past 2 weeks. He walked with stiff legs, leading to falls, and had difficulty in climbing stairs. There was no history of alteration in sensorium, seizures, cognitive deterioration, vision impairment, diplopia, bladder problems, difficulty in getting up from a sitting posture, muscle atrophy or hypertrophy, or foot drop. He consumed a vegetarian diet. There was no family history of similar problems.

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