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Abdominal Ecchymosis: Emergency, or Urgen-C?
Riley Jones1, Leila Shafiq2, Benmichael Idowu1
1Medicine, University of Florida College of Medicine, Gainesville, USA.
Cureus
|May 30, 2023
Summary
Scurvy, a disease from vitamin C deficiency, can be fatal if untreated. Recognizing socioeconomic risk factors and obtaining a thorough patient history are crucial for early diagnosis and treatment.
Area of Science:
- Internal Medicine
- Nutritional Science
Background:
- Scurvy is a multisystem disease resulting from vitamin C deficiency.
- Historically linked to lethargy, gingivitis, and ecchymosis, it can be fatal if untreated.
Observation:
- Contemporary risk factors include smoking, alcohol abuse, fad diets, mental health issues, social isolation, economic marginalization, and food insecurity.
- A case report details a man in his 70s presenting with dyspnea, abdominal pain, and ecchymosis.
Findings:
- The patient's plasma vitamin C level was undetectable.
- Symptoms resolved following vitamin C supplementation, confirming the diagnosis.
Implications:
- This case underscores the importance of recognizing modern risk factors for scurvy.
- A comprehensive social and dietary history is essential for timely diagnosis and treatment of this rare condition.
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