MS-2470

MS-2470

A 49-year-old man visits his GP with a complaint of feeling fatigued for a few months. During the examination, the GP observes poorly healed wounds on the patient’s knees, which he sustained while playing rugby. The GP also notices follicular hyperkeratosis and perifollicular haemorrhage, and swollen gums that bleed easily. The patient admits to being a smoker and consuming an unhealthy diet consisting mainly of fast food. What is the probable reason for his symptoms?