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[Scurvy and adrenal insufficiency].
Katrine Rye1, Jørgen Weeke, Niels Møller
1Arhus Universitetshospital, Arhus Kommunehospital, medicinsk afdeling M (endokrinologi & diabetes), Aarhus Universitet, Institut for Eksperimentel Klinisk Forskning.
Ugeskrift for Laeger
|October 17, 2002
Summary
Scurvy in a woman presented with quadriceps tumors and adrenal insufficiency. Both conditions resolved with vitamin C therapy, suggesting a potential link for future scurvy evaluations.
Area of Science:
- Internal Medicine
- Nutritional Science
- Oncology
Background:
- Scurvy, a deficiency of vitamin C, is rare in developed countries.
- It typically manifests with symptoms like fatigue, bleeding gums, and poor wound healing.
- Unusual presentations of scurvy warrant thorough investigation.
Observation:
- A 32-year-old woman with scurvy presented with bilateral quadriceps muscle tumors.
- Malignancy was initially suspected as the cause of the tumors.
- Adrenal insufficiency was also diagnosed concurrently.
Findings:
- All clinical abnormalities, including the quadriceps tumors and adrenal insufficiency, resolved after vitamin C supplementation.
- The resolution of these diverse symptoms suggests a potential underlying connection.
- Vitamin C therapy proved effective in reversing the observed pathological changes.
Implications:
- This case highlights an unusual association between scurvy, muscle tumors, and adrenal insufficiency.
- Further research is needed to explore a potential causal link between vitamin C deficiency and these conditions.
- Adrenal function assessment may be warranted in patients diagnosed with scurvy.