‘Burning Sole Syndrome’ is seen in deficiency of
**Burning Sole Syndrome** is a condition characterized by a burning sensation in the soles of the feet, often associated with a deficiency of a specific vitamin.
**Core Concept**
'Burning Sole Syndrome' is a clinical manifestation of vitamin B12 deficiency, which affects the myelin sheath of peripheral nerves, leading to neuropathy. The condition is often seen in individuals with pernicious anemia or those on prolonged parenteral nutrition.
**Why the Correct Answer is Right**
Vitamin B12 plays a crucial role in the synthesis of myelin, the fatty substance that surrounds and protects nerve fibers. A deficiency in vitamin B12 leads to demyelination, resulting in abnormal nerve conduction and symptomatology such as burning sensation in the soles of the feet. The condition is often accompanied by other neurological symptoms like numbness, tingling, and weakness.
**Why Each Wrong Option is Incorrect**
**Option A:** This is incorrect because thiamine deficiency is associated with Wernicke-Korsakoff syndrome, a condition characterized by confusion, ataxia, and ophthalmoplegia.
**Option B:** Folate deficiency is associated with megaloblastic anemia, but not specifically with burning sensation in the soles of the feet.
**Option C:** Riboflavin deficiency is associated with ariboflavinosis, a condition characterized by cracks in the corners of the mouth, glossitis, and dermatitis.
**Clinical Pearl / High-Yield Fact**
Burning Sole Syndrome is a classic presentation of vitamin B12 deficiency, often seen in individuals with pernicious anemia or those on prolonged parenteral nutrition. It is essential to diagnose and treat vitamin B12 deficiency promptly to prevent irreversible neurological damage.
**Correct Answer:** C. Riboflavin deficiency is associated with ariboflavinosis, a condition characterized by cracks in the corners of the mouth, glossitis, and dermatitis.