A 32-year-old man presents with a one-month history of abdominal pain, fatigue, irritability, and difficulty sleeping. He mentions he has spent the last five months renovating his home. A thin bluish line is noted along the gum line at the base of his teeth on examination. A peripheral blood smear demonstrates basophilic stippling and a complete blood count reveals a hemoglobin of 11.4 mg/dL. What other clinical feature might you also expect to find in this patient? Learn more about this case and join the conversation on Figure 1.
The Image of the Week for January 8 is brought to you in partnership with: