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Vitamin B12 cannot be made in the body, therefore, it must be obtained from the diet

The condition is more prevalent in males and presents as insidious onset pain at the proximal insertion site of the quadriceps tendon over the patella (20% of cases), pain at the inferior pole of the patella (70% of cases), or less commonly, pain at the tibial tuberosity (10%), which may increase during physical activity and digital pressure [4,5,6]

Then, they consequently exhibited the liver failure (substantial congestion of central vein as well as branches of portal veins in portal triads), gastric and duodenal hemorrhagic lesion, due to prominent portal and caval hypertension, as noted in the peripheral vein occlusion syndromes