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Scurvy in an unrepentant carnivore.

Abstract

For centuries, scurvy, or vitamin C deficiency, decimated crews of sailing ships on long sea voyages and populations deprived of fresh fruits and vegetables during times of war or famine. Today, scurvy is extremely rare in the United States, and its classic findings of perifollicular petechiae, edema and purpura of the lower extremities, corkscrew hairs, and hemorrhagic gingivitis may go unrecognized. We report the case of a man from rural Appalachia who developed typical signs and symptoms of scurvy on two separate occasions, approximately 2 years apart. Both times, the patient underwent an extensive work-up and was diagnosed with numerous other conditions before his vitamin C deficiency was recognized. We discuss the clinical presentation, pathophysiology, diagnosis, and treatment of scurvy, with attention to specific findings that should alert the clinician to this diagnosis.

Authors+Show Affiliations

,

Department of Dermatology, University of Virgina Health Sciences Center, Charlottesville 22908, USA.

Source

Cutis 66:1 2000 Jul pg 39-44

MeSH

Biopsy
Diagnosis, Differential
Feeding Behavior
Humans
Keratosis
Male
Middle Aged
Patient Care Team
Purpura
Scurvy
Skin

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10916690

Citation

Levin, N A., and K E. Greer. "Scurvy in an Unrepentant Carnivore." Cutis, vol. 66, no. 1, 2000, pp. 39-44.
Levin NA, Greer KE. Scurvy in an unrepentant carnivore. Cutis. 2000;66(1):39-44.
Levin, N. A., & Greer, K. E. (2000). Scurvy in an unrepentant carnivore. Cutis, 66(1), pp. 39-44.
Levin NA, Greer KE. Scurvy in an Unrepentant Carnivore. Cutis. 2000;66(1):39-44. PubMed PMID: 10916690.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scurvy in an unrepentant carnivore. AU - Levin,N A, AU - Greer,K E, PY - 2000/8/5/pubmed PY - 2001/2/28/medline PY - 2000/8/5/entrez SP - 39 EP - 44 JF - Cutis JO - Cutis VL - 66 IS - 1 N2 - For centuries, scurvy, or vitamin C deficiency, decimated crews of sailing ships on long sea voyages and populations deprived of fresh fruits and vegetables during times of war or famine. Today, scurvy is extremely rare in the United States, and its classic findings of perifollicular petechiae, edema and purpura of the lower extremities, corkscrew hairs, and hemorrhagic gingivitis may go unrecognized. We report the case of a man from rural Appalachia who developed typical signs and symptoms of scurvy on two separate occasions, approximately 2 years apart. Both times, the patient underwent an extensive work-up and was diagnosed with numerous other conditions before his vitamin C deficiency was recognized. We discuss the clinical presentation, pathophysiology, diagnosis, and treatment of scurvy, with attention to specific findings that should alert the clinician to this diagnosis. SN - 0011-4162 UR - https://www.unboundmedicine.com/medline/citation/10916690/full_citation L2 - http://www.diseaseinfosearch.org/result/6471 DB - PRIME DP - Unbound Medicine ER -