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Hemarthrosis as initial presentation of scurvy.

Abstract

Vitamin C deficiency or scurvy is a disease now rarely seen except for certain populations at risk. When it occurs, diagnosis can be difficult as it can mimic other disorders. Its manifestations are primarily due to an abnormality in collagen formation causing bleeding in the skin, joints, muscles, or gastrointestinal tract and dystrophic hair deformities. We describe a case of scurvy in a 43-year-old man who presented with new onset hemarthrosis with no history of bleeding disorder. He was found to have perifollicular hyperpigmentation and corkscrew hairs, highly suggestive of scurvy. He admitted to completely eliminating fruits and vegetables from his diet and his serum vitamin C level was markedly decreased. Treatment with daily vitamin C supplement led to relief of symptoms and resolution of skin changes.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Arthritis Unit, Massachusetts General Hospital, Boston 02114, USA.

    Source

    The Journal of rheumatology 28:8 2001 Aug pg 1923-5

    MeSH

    Adult
    Ascorbic Acid
    Diagnosis, Differential
    Hemarthrosis
    Humans
    Hyperpigmentation
    Male
    Scurvy
    Skin

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    11508601

    Citation

    Pangan, A L., and D Robinson. "Hemarthrosis as Initial Presentation of Scurvy." The Journal of Rheumatology, vol. 28, no. 8, 2001, pp. 1923-5.
    Pangan AL, Robinson D. Hemarthrosis as initial presentation of scurvy. J Rheumatol. 2001;28(8):1923-5.
    Pangan, A. L., & Robinson, D. (2001). Hemarthrosis as initial presentation of scurvy. The Journal of Rheumatology, 28(8), pp. 1923-5.
    Pangan AL, Robinson D. Hemarthrosis as Initial Presentation of Scurvy. J Rheumatol. 2001;28(8):1923-5. PubMed PMID: 11508601.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Hemarthrosis as initial presentation of scurvy. AU - Pangan,A L, AU - Robinson,D, PY - 2001/8/18/pubmed PY - 2002/1/26/medline PY - 2001/8/18/entrez SP - 1923 EP - 5 JF - The Journal of rheumatology JO - J. Rheumatol. VL - 28 IS - 8 N2 - Vitamin C deficiency or scurvy is a disease now rarely seen except for certain populations at risk. When it occurs, diagnosis can be difficult as it can mimic other disorders. Its manifestations are primarily due to an abnormality in collagen formation causing bleeding in the skin, joints, muscles, or gastrointestinal tract and dystrophic hair deformities. We describe a case of scurvy in a 43-year-old man who presented with new onset hemarthrosis with no history of bleeding disorder. He was found to have perifollicular hyperpigmentation and corkscrew hairs, highly suggestive of scurvy. He admitted to completely eliminating fruits and vegetables from his diet and his serum vitamin C level was markedly decreased. Treatment with daily vitamin C supplement led to relief of symptoms and resolution of skin changes. SN - 0315-162X UR - https://www.unboundmedicine.com/medline/citation/11508601/Hemarthrosis_as_initial_presentation_of_scurvy_ L2 - http://www.jrheum.org/cgi/pmidlookup?view=long&pmid=11508601 DB - PRIME DP - Unbound Medicine ER -