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Scurvy in the Intensive Care Unit.

Amarah Baluch¹, David Landsberg²

¹Department of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.

Journal of Investigative Medicine High Impact Case Reports

|December 23, 2021

Summary

Scurvy, a disease from vitamin C deficiency, is still present today. This case report emphasizes recognizing nutritional deficiencies in at-risk patients with unusual skin symptoms.

Keywords:

dermatology nutrition other pulmonary critical care

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Area of Science:

Internal Medicine
Dermatology
Nutritional Science

Background:

Scurvy, a condition resulting from vitamin C deficiency, is considered rare in modern medicine.
Vitamin C deficiency affects approximately 7.1% of the US population.
Chronic alcohol use is a significant risk factor for nutritional deficiencies.

Observation:

A 56-year-old male with a history of chronic alcohol use presented with sepsis.
The patient exhibited a rash on his hands and feet, characterized by palpable lesions and petechiae.
Skin pathology results confirmed ascorbic acid deficiency, indicative of scurvy.

Findings:

The case demonstrates that scurvy can manifest with skin findings mimicking vasculitis.
Severe nutritional deficiencies should be considered in patients with alcohol use disorder presenting with dermatological symptoms.
Ascorbic acid deficiency, or scurvy, remains a relevant clinical diagnosis.

Implications:

This case underscores the importance of a comprehensive diagnostic approach, including nutritional assessment.
Awareness of scurvy's potential presentation is crucial for timely diagnosis and treatment.
Identifying and managing at-risk populations can prevent severe health consequences associated with vitamin C deficiency.