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Scurvy. A case report

S Yilmaz1, S Karademir, U Ertan

  • 1Department of Pediatrics, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.

The Turkish Journal of Pediatrics
|July 25, 1998
PubMed
Summary

Scurvy, a vitamin C deficiency, is rare but treatable. Early recognition of symptoms like bleeding and joint pain in infants is crucial for prompt ascorbic acid therapy and recovery.

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Area of Science:

  • Pediatrics
  • Nutritional Science
  • Clinical Medicine

Background:

  • Scurvy, a condition caused by vitamin C deficiency, is increasingly rare in developed societies.
  • Dietary deficiencies can lead to severe health consequences, even in infants.
  • Early identification and intervention are key to managing nutritional disorders.

Observation:

  • An 18-month-old infant presented with irritability, epistaxis, gum abnormalities, ecchymosis, painful swollen knees, and a scorbutic rosary.
  • The child's diet was primarily wheat flour-based, suggesting a lack of essential nutrients.
  • Radiographic findings of the knees were consistent with scurvy, and ascorbic acid levels were critically low.

Findings:

  • The clinical presentation and diagnostic findings strongly indicated scurvy.
  • Treatment with ascorbic acid led to a rapid and significant improvement in the patient's condition.
  • This case highlights the potential for severe nutritional deficiencies despite the uncommon nature of the disease.

Implications:

  • Pediatricians and healthcare providers should maintain a high index of suspicion for scurvy in infants presenting with suggestive symptoms, even in resource-rich settings.
  • Dietary history is a critical component of diagnosing nutritional deficiencies like scurvy.
  • Prompt diagnosis and treatment with vitamin C (ascorbic acid) can effectively reverse the effects of scurvy and prevent long-term complications.

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