Scurvy identified in the emergency department: a case report

Area of Science:

• Nutrition Science
• Dermatology
• Geriatrics

Background:

• Scurvy, a disease caused by Vitamin C deficiency, is considered rare in developed countries.
• It presents with diverse symptoms, notably hemorrhagic manifestations in the skin, gums, and joints.

Observation:

• A case of scurvy was diagnosed in an elderly woman with a history of alcoholism.
• Dermatologic findings and dietary assessment were key to the diagnosis.

Findings:

• Oral ascorbic acid supplementation led to complete resolution of all scurvy symptoms within 10 days.
• This highlights the efficacy of Vitamin C repletion in treating scurvy.

Implications:

• Elderly individuals, particularly those with alcoholism, poor diet, or social isolation, are at increased risk for scurvy.
• Increased awareness and diagnostic vigilance for scurvy in at-risk populations are warranted.