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Scurvy: presenting as musculoskeletal pain
Attia Bari1, Bushra Karim Javaid, Saira Rehman
1Department of Paediatric Medicine, The Children's Hospital and Institute of Child Health, Lahore. attiashafiq744@hotmail.com
Summary
Scurvy, a vitamin C deficiency, is rare in children but can occur due to restrictive diets. Early nutritional screening and dietary intervention are key for recovery and preventing serious health issues.
Area of Science:
- Pediatrics
- Nutrition Science
- Clinical Case Study
Background:
- Scurvy, a condition caused by vitamin C deficiency, is uncommon in pediatric populations.
- Restrictive eating patterns can lead to nutritional deficiencies even in developed socioeconomic settings.
Observation:
- A toddler girl presented with severe leg pain, difficulty walking, and gum bleeding.
- Initial investigations revealed severe vitamin C deficiency.
Findings:
- The patient's symptoms were directly linked to a restrictive eating pattern causing vitamin C deficiency.
- Dietary intervention with vitamin C supplementation and increased intake of fruits and vegetables led to significant symptom improvement.
Implications:
- This case highlights that nutrition-based diseases like scurvy can still affect children across various socioeconomic backgrounds.
- Routine nutritional screening is crucial in pediatric healthcare to identify and manage deficiencies early.
- Early diagnosis and dietary management are vital for positive health outcomes in pediatric scurvy.
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