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Irritable bowel syndrome leading to scurvy from a severely restricted diet
Vinayak Venkataraman1,2, Kristian R Olson1,2
1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Abstract:
A 69-year-old man with irritable bowel syndrome on a restricted diet presented with fatigue, myalgias, extensive bilateral lower-extremity petechiae and ecchymoses, transfusion-refractory anemia, and elevated inflammatory markers. A low serum vitamin C level led to the diagnosis of scurvy. This is the first reported case of vitamin C deficiency and clinical scurvy related to voluntary dietary restriction from irritable bowel syndrome in an adult patient.
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