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Updated: Aug 15, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Confluent ecchymoses on the lower extremities of a malnourished patient
G Sasaki1, T Satoh, H Yokozeki
1Department of Dermatology, School of Medicine, Tokyo Medical and Dental University, Japan.
Abstract:
Nutritional deficiencies result in many distinctive cutaneous manifestations. Vitamin C deficiency, or scurvy, produces follicular hyperkeratosis, perifollicular hemorrhages, gingival hypertrophy, and bleeding (1). We report here a case of malnutrition who suddenly developed extensive eccymoses on the lower extremities sharing morphological similarities with purpura fulminans. Although the patient did not have the characteristic dermatological features of scurvy, serum levels of vitamins C, K, B12, and E were decreased.
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