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An apple a day ... chronic glossitis in a 4-year-old boy
F Codreanu1, S Jarlot, C Astier
1EA 3999 "Allergy Diseases: Diagnosis & Therapeutics", Department of Internal Medicine, Clinical Immunology and Allergology, University Hospital of Nancy, Nancy, France.
Abstract:
We report a case of chronic glossitis in a 4-year-old boy due to scurvy. The boy showed up in our department with a patchy depapillated tongue. A detailed dietary history revealed an unbalanced diet without any fruit or vegetable. The biological investigations showed a low serum ascorbic acid. The boy was treated by oral ascorbic acid during 15 days. The glossitis improved within one week and serum levels of vitamin C returned to the normal range. In industrial countries, scurvy became a rare disease in healthy children. However, since a few years, cases are reported in children and teenagers with unbalanced diet coming from economically favoured families. These extreme cases are one of the signs of a more general deterioration of dietary habits in paediatric populations in our societies. This emphasizes the importance of effective nutritional education programs aimed towards both parents and children.
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