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Related Experiment Videos

Scurvy mimicking systemic vasculitis.

G Vairo1, A Salustri, P Trambaiolo

  • 1Emergency Department, Hospital Sandro Pertini, Rome, Italy. g_vairo@hotmail.com

Minerva Medica
|May 29, 2002
PubMed
Summary
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Scurvy, a vitamin C deficiency, can mimic systemic vasculitis. Prompt diagnosis and ascorbic acid supplementation led to rapid symptom improvement in an elderly patient.

Area of Science:

  • Geriatrics
  • Nutritional Science
  • Dermatology

Background:

  • Systemic vasculitis presents with diverse symptoms, including skin manifestations and lethargy.
  • Elderly patients with malnutrition are susceptible to various deficiencies.
  • Vitamin C deficiency (scurvy) can manifest with skin and systemic symptoms.

Observation:

  • A 91-year-old woman presented with lethargy, dyspnea, and leg subcutaneous hemorrhages.
  • Clinical presentation suggested systemic vasculitis.
  • Dermatologic findings and malnutrition raised suspicion for vitamin C deficiency.

Findings:

  • Laboratory tests confirmed vitamin C deficiency.
  • Treatment with ascorbic acid resulted in dramatic clinical improvement.

Related Experiment Videos

  • Scurvy was identified as the underlying cause, mimicking vasculitis.

    • Implications:

    • Highlights the importance of considering nutritional deficiencies in the elderly presenting with vasculitis-like symptoms.
    • Underscores that scurvy can present atypically, mimicking systemic inflammatory conditions.
    • Emphasizes the critical role of nutritional assessment and supplementation in geriatric care.