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Scurvy due to restrictive diet in a child with autism spectrum disorder: case report

Melina J Saavedra1, Julieta Aziz2, Nicolás Cacchiarelli San Román2

  • 1Departamento de Pediatría, Servicio de Clínica Pediátrica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires. melina.saavedra@hiba.org.ar.

Archivos Argentinos De Pediatria
|September 12, 2018
PubMed

Insights

Scurvy is rare in children, but can occur with restrictive diets. This case highlights scurvy in a child with autism spectrum disorder due to selective eating habits, emphasizing dietary history importance.

Area of Science:

  • Pediatrics
  • Nutrition Science
  • Autism Spectrum Disorders

Background:

  • Scurvy, a vitamin C deficiency disease, is rare in pediatrics.
  • Previous cases linked to boiled milk, iron overload, or neurodevelopmental disorders with food restrictions.
  • Autism spectrum disorder (ASD) is associated with selective eating, posing nutritional risks.

Observation:

  • A 4-year-old male with ASD presented with scurvy.
  • The patient exhibited long-term selective eating, excluding fruits and vegetables.
  • This dietary pattern led to severe vitamin C deficiency.

Findings:

  • The case demonstrates scurvy development in a child with ASD due to extreme dietary selectivity.
  • Restrictive diets in children with ASD can lead to serious micronutrient deficiencies.
  • Prompt identification of dietary habits is crucial for preventing scurvy.

Implications:

  • Pediatricians and healthcare providers should consider scurvy in children with ASD and restrictive diets.
  • Thorough dietary history is essential for diagnosing and preventing nutritional deficiencies.
  • Early nutritional intervention can mitigate the risks associated with selective eating in children with ASD.

Keywords:
Ascorbic addAutism spectrum disorderFeeding and Eating DisordersNutritional DeficiencyScurvy

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