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Severe Acute Malnutrition Presenting With Scurvy: A Case Report
Varsha Premkumar1, Renuka Jadhav1, Sudhir Malwade1
1Pediatrics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, IND.
Cureus
|March 22, 2024
Summary
Scurvy, a vitamin C deficiency, is rare but serious, especially in children with severe acute malnutrition (SAM). Early diagnosis and nutritional support are crucial for recovery and preventing complications.
Area of Science:
- Pediatrics
- Nutritional Science
- Radiology
Background:
- Scurvy, a disease resulting from vitamin C deficiency, is uncommon in developed nations due to fortified foods and supplements.
- However, it remains a concern in developing regions, often linked to poor nutritional status and severe acute malnutrition (SAM).
- Delayed or missed diagnoses of scurvy can lead to severe complications.
Observation:
- A rare case of scurvy in a four-year-old girl with severe acute malnutrition (SAM) is presented.
- Clinical examination revealed signs consistent with SAM.
- Radiographic imaging, including X-ray and MRI of the left femur and knee, was performed to assess orthopedic parameters.
Findings:
- Clinical presentation and imaging findings confirmed the diagnosis of scurvy.
- The patient exhibited signs of both severe acute malnutrition and scurvy.
Implications:
- This case highlights the importance of considering scurvy in the differential diagnosis of children with severe acute malnutrition, even in resource-limited settings.
- Prompt nutritional intervention, such as the Formula 75 (F-75) diet, is essential for managing malnutrition and facilitating recovery from scurvy.
- Early recognition and treatment can prevent severe complications and reduce the need for extensive diagnostic workups.
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