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Scurvy: a case report
1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|September 1, 2001
Summary
A child with cerebral palsy presented with scurvy symptoms including purpuric rash and bleeding gums. Prompt vitamin C treatment resolved these signs, highlighting scurvy
Area of Science:
- Pediatrics
- Nutritional Deficiencies
- Dermatology
Background:
- Cerebral palsy (CP) can impact nutrition and mobility, potentially increasing risk for certain deficiencies.
- Scurvy, a vitamin C deficiency, presents with a range of hematologic, cutaneous, and skeletal manifestations.
Observation:
- An 8-year-old boy with CP exhibited progressive purpuric rash, bleeding gums, and extremity tenderness.
- Physical exam revealed pallor, cachexia, petechiae, and follicular hyperkeratosis.
- Radiographs showed generalized osteoporosis and metaphyseal abnormalities consistent with nutritional deficiency.
Findings:
- Skin biopsy revealed dilated hair follicles with keratinous material and corkscrew hairs.
- Laboratory results showed severe anemia (hemoglobin 6.6 g/dl) with normal platelet count and coagulogram.
- Diagnosis of scurvy was confirmed based on clinical, radiographic, and skin biopsy findings.
Implications:
- This case underscores the importance of considering nutritional deficiencies, like scurvy, in children with cerebral palsy.
- Early diagnosis and vitamin C supplementation are crucial for reversing the clinical and radiographic manifestations of scurvy.
- Highlights the need for comprehensive nutritional assessment in neurologically impaired children.
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