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Scurvy mimicking as systemic lupus erythematosus

Narueporn Likhitweerawong1, Nonglak Boonchooduang1, Wipawee Morakote2

  • 1Paediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

BMJ Case Reports
|June 22, 2021
PubMed

Insights

Scurvy, a vitamin C deficiency, is more common in children with autism due to restricted diets. Early nutritional assessment is crucial for timely diagnosis and treatment.

Area of Science:

  • Nutrition
  • Pediatrics
  • Developmental Disorders

Background:

  • Scurvy results from chronic vitamin C deficiency.
  • Children with neurodevelopmental disorders, like autism spectrum disorder, have higher scurvy prevalence due to restricted diets.

Observation:

  • A case of a child with autism presented with joint pain and anemia.
  • Initial diagnosis considered systemic lupus erythematosus, leading to extensive testing and delayed identification of vitamin C deficiency.

Findings:

  • Treatment with ascorbic acid (vitamin C) resolved the child's symptoms.
  • This case underscores the link between restricted intake in autistic children and scurvy.

Implications:

  • Emphasizes the importance of developmental and nutritional history in pediatric cases.
  • Highlights the need for vigilance regarding nutritional status in children with selective eating habits.

Keywords:
developmental paediatrocspaediatrics

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