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Spontaneous orbital haematoma in a scurvy child: A forgotten diagnosis

Siew Chung Cheah1, Ing Ping Tang2, Tong Jong Haw Matthew3

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000, Cheras, Kuala Lumpur, Malaysia; Department of Otorhinolaryngology-Head and Neck Surgery, Sarawak General Hospital, 93586, Kuching, Sarawak, Malaysia.

International Journal of Pediatric Otorhinolaryngology
|September 8, 2020
PubMed

Insights

Scurvy, a vitamin C deficiency, rarely causes orbital hematoma in children. This case highlights a 7-year-old girl

Area of Science:

  • Pediatrics
  • Ophthalmology
  • Nutritional Science

Background:

  • Scurvy, a condition from prolonged vitamin C deficiency, impairs collagen synthesis.
  • Orbital hematoma in children is uncommon, with scurvy being a rare cause.

Observation:

  • A 7-year-old girl presented with spontaneous proptosis (bulging eye) of the right eye.
  • Imaging revealed an extraconal hemorrhage within the orbit.
  • The patient had a history of learning difficulties, potentially linked to nutritional status.

Findings:

  • The orbital hematoma was diagnosed as being caused by scurvy.
  • The patient received a high initial dose of vitamin C for emergency treatment.
  • Rapid improvement and discharge without complications were observed post-treatment.

Implications:

  • This case underscores the importance of considering scurvy in pediatric orbital hematomas, even in developed regions.
  • Highlights the need for awareness of this "forgotten disease" and the significance of balanced nutrition in children.
  • Suggests prompt, high-dose vitamin C is effective in managing scurvy-induced orbital hematomas.

Keywords:
ChildrenCurvyOrbital haematomaSpontaneous

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