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[Changes in the oral caused by scurvy]
Dragana Daković1, Besir Ljusković, Ivan Mileusnić
1Vojnomedicinska Akademija, Klinika za stomatologiju, Beograd. dakovic@beotel.yu
Vojnosanitetski Pregled
|January 24, 2004
Summary
Scurvy, a vitamin C deficiency, presents with severe oral health issues like gum bleeding and tooth decay. Prompt diagnosis and treatment are crucial to prevent serious systemic complications.
Area of Science:
- Internal Medicine
- Dentistry
- Psychiatry
Background:
- Scurvy, a condition caused by severe vitamin C deficiency, is rare in modern times.
- Recognizing clinical signs is vital for prompt diagnosis and treatment.
- This case highlights scurvy in a psychiatric patient.
Observation:
- Oral examination revealed dry, pale lips, edematous and ulcerated gums with spontaneous bleeding.
- Dental issues included significant caries.
- Systemic signs included asthenia, adynamia, petechial bleeding, and hematomas on extremities.
Findings:
- The patient presented with classic signs of advanced scurvy affecting both oral health and systemic well-being.
- Treatment involved intravenous and oral vitamin C supplementation.
- Partial plaque control and non-compliance hindered complete oral recovery.
Implications:
- This case underscores the importance of considering scurvy in patients with unexplained bleeding and oral health deterioration.
- Early diagnosis and comprehensive treatment are essential to avert severe systemic consequences.
- Improved patient compliance is critical for successful management of scurvy-related oral manifestations.