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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Arthritis and gum bleeding in two children
Agata Vitale1, Francesco La Torre, Giorgia Martini
1Department of Paediatrics, Rheumatology Unit, University of Messina, Messina, Italy. vitale@interfree.it
Journal of Paediatrics and Child Health
|March 26, 2009
Summary
Scurvy, a rare nutritional vitamin C deficiency, can mimic rheumatologic diseases in children. Prompt diagnosis and vitamin C treatment resolved symptoms, highlighting the need for awareness in developed countries.
Area of Science:
- Pediatrics
- Nutrition
- Rheumatology
Background:
- Scurvy is rare in developed countries, typically seen in children with highly restricted diets.
- Clinical symptoms can include joint pain, swelling, and bruising, often misdiagnosed as rheumatologic conditions.
Observation:
- Two pediatric cases presented with "rheumatologic" symptoms but lacked classic scurvy radiographic signs.
- Magnetic resonance imaging revealed subperiosteal and bony hemorrhages, aiding diagnosis.
Findings:
- Nutritional vitamin C deficiency (scurvy) was confirmed in both patients.
- Symptoms resolved rapidly following vitamin C supplementation.
Implications:
- Pediatricians should consider scurvy in children with unexplained "rheumatologic" manifestations, even in industrialized nations.
- MRI is a valuable tool for diagnosing scurvy in ambiguous cases.
- Underestimated inadequate vitamin intake warrants clinical vigilance.
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