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Finger blackening....

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Hi everyone,

I have a 13 month post-op RYGB patient that is experiencing blackening

around her fingers. At first, I thought skin sensitivity to the gold

rings she was wearing, but she has been wearing the same rings for the

past 13 years. The blackening started about 3 weeks ago; her latest

lab values show low Vit D levels (high PTH) for which she was placed on

50,000 IU Vit D weekly.

Any thoughts?

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