A 52-year-old man comes to the physician because of night blurry vision over the past several months. He also has generalized pruritus. He underwent for cystoscopy for evaluation painless hematuria and the biopsy reveals a focal layer of stratified squamous epithelium with hyperkeratosis. On physical examination, her skin is diffusely coarse and dry. Which of the following processes is most likely responsible for these findings?
A) Chronic renal failure
B) Hemolytic anemia
C) Inadequate sunlight exposure
D) Prolonged biliary obstruction
E) Rheumatoid arthritis
F) Strict vegan diet
Correct Answer:
Verified
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