Scurvy in the Modern World: Extinct or Not?

Area of Science:

• Nutrition
• Internal Medicine
• Dermatology

Background:

• Scurvy is a vitamin C deficiency disorder historically prevalent among sailors.
• Modern advancements in nutrition have made scurvy rare in developed countries.
• It affects skin and soft tissues, causing diverse symptoms like bleeding and musculoskeletal issues.

Observation:

• An elderly female presented with weakness, gait instability, falls, easy bruising, fatigue, and petechial rash.
• These symptoms were attributed to scurvy, a condition often overlooked in contemporary medicine.
• The patient experienced symptom improvement after initiating vitamin C supplements.

Findings:

• Vitamin C deficiency can manifest with significant constitutional and dermatological symptoms.
• Scurvy should be considered in the differential diagnosis for petechial rash and bruising.
• Prompt supplementation with vitamin C can effectively resolve scurvy-related symptoms.

Implications:

• Highlights the importance of considering scurvy in elderly or at-risk populations presenting with non-specific symptoms.
• Emphasizes the need for increased awareness among healthcare professionals regarding vitamin C deficiency.
• Underscores the effectiveness of vitamin C supplementation in managing scurvy and its complications.