Scurvy: A Diagnosis Not to Be Missed

Area of Science:

• Nutrition
• Internal Medicine
• Public Health

Background:

• Vitamin C deficiency (scurvy) is historically significant but now rare in developed nations.
• Recent trends indicate a resurgence of scurvy cases, particularly among vulnerable populations.
• Risk factors include homelessness, food insecurity, and restrictive diets.

Observation:

• Three adult patients presented with symptoms indicative of scurvy.
• All patients had documented histories of homelessness, food insecurity, and poor nutritional intake.
• Clinical signs included purpura, gingival bleeding, and changes in body hair.

Findings:

• The case series highlights the increased risk of scurvy in individuals facing socioeconomic challenges and nutritional deficits.
• Prompt diagnosis and appropriate vitamin C supplementation resulted in rapid and favorable patient outcomes.
• This underscores the importance of considering scurvy in the differential diagnosis for patients with suggestive symptoms.

Implications:

• Healthcare providers should maintain a high index of suspicion for scurvy in at-risk populations.
• Inquiring about detailed nutritional history is crucial for early detection.
• Addressing socioeconomic factors contributing to food insecurity is vital for public health prevention strategies.