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Infantile scurvy: two case reports

Leila Ghedira Besbes1, Samir Haddad, Chebil Ben Meriem

  • 1Pediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, Tunisia.

International Journal of Pediatrics
|October 27, 2010
PubMed

Insights

Scurvy, a vitamin C deficiency disease, is rare in children but can occur in those with developmental delays. Subperiosteal hematomas are key indicators for diagnosing pediatric scurvy.

Area of Science:

  • Pediatrics
  • Nutrition
  • Hematology

Background:

  • Ascorbic acid (vitamin C) is vital for collagen synthesis, antioxidant activity, and iron absorption.
  • Scurvy, resulting from vitamin C deficiency, is rare but persists in nutritionally at-risk populations.
  • Pediatric scurvy incidence is notably low.

Observation:

  • This report details two pediatric cases of scurvy.
  • Both children presented with cerebral palsy and developmental delay.
  • Subperiosteal hematomas were the presenting sign in both cases.

Findings:

  • Scurvy is exceptionally uncommon in the pediatric demographic.
  • Musculoskeletal symptoms, particularly subperiosteal hematomas, are significant in pediatric scurvy.
  • Multiple subperiosteal hematomas serve as a crucial diagnostic marker.

Implications:

  • Highlights the importance of considering scurvy in children with developmental disorders and unexplained hematomas.
  • Emphasizes the diagnostic value of musculoskeletal manifestations in pediatric scurvy.
  • Underscores the need for nutritional assessment in high-risk pediatric populations.

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