Gingival findings in spontaneous scurvy. A case report

Area of Science:

• Oral Medicine
• Nutritional Deficiencies
• Periodontology

Background:

• Periodontal disease can present with soft tissue alterations.
• Scurvy, a vitamin C deficiency, is rare but can cause significant health issues.
• Gingival manifestations are key diagnostic indicators for scurvy.

Observation:

• This case report details soft tissue changes in periodontally diseased tissues linked to scurvy development.
• Sudden onset of gingival lesions prompted a differential diagnosis including scurvy, acute leukemia, and diabetes.
• Oral symptoms of scurvy can precede or occur concurrently with extraoral findings.

Findings:

• Systemic and local therapeutic interventions successfully resolved the disease state.
• Dentists may be the initial healthcare providers to identify scurvy in patients.
• Recognizing scurvy is vital for effective patient management.

Implications:

• Dental professionals should consider scurvy in the differential diagnosis of acute gingival lesions.
• Prompt identification of nutritional deficiencies like scurvy through oral examination can prevent severe health consequences.
• Integrated medical and dental care is essential for managing scurvy patients.