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An unusual presentation of scurvy following head injury.

Abstract

We report an unusual clinical presentation of scurvy in a one and half year old child. The child presented with abrupt onset of peri-orbital ecchymoses and scalp hemorrhage following head injury. The child also had a history of temper tantrums and head banging. Our case did not have any of the typical clinical features of scurvy. The diagnosis was eventually confirmed radiologically and by observing a dramatic response to vitamin C therapy. It is important to remember that scurvy can present atypically i.e. without bleeding gums, painful limbs, pseudo-paralysis or scorbutic rosary. Scurvy should be kept as a differential diagnosis in a young child presenting with bleeding manifestations. Taking a detailed dietary history is of utmost importance in pediatric practice.

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Authors+Show Affiliations

,

Division of Pediatric Neurology, Department of Pediatrics, LTM Medical College, LTMG Hospital, Sion, Mumbai 400 022.

Source

Indian journal of medical sciences 56:9 2002 Sep pg 440-2

MeSH

Craniocerebral Trauma
Humans
Infant
Male
Scurvy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12710340

Citation

Ahuja, S R., and S Karande. "An Unusual Presentation of Scurvy Following Head Injury." Indian Journal of Medical Sciences, vol. 56, no. 9, 2002, pp. 440-2.
Ahuja SR, Karande S. An unusual presentation of scurvy following head injury. Indian J Med Sci. 2002;56(9):440-2.
Ahuja, S. R., & Karande, S. (2002). An unusual presentation of scurvy following head injury. Indian Journal of Medical Sciences, 56(9), pp. 440-2.
Ahuja SR, Karande S. An Unusual Presentation of Scurvy Following Head Injury. Indian J Med Sci. 2002;56(9):440-2. PubMed PMID: 12710340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An unusual presentation of scurvy following head injury. AU - Ahuja,S R, AU - Karande,S, PY - 2003/4/25/pubmed PY - 2003/5/15/medline PY - 2003/4/25/entrez SP - 440 EP - 2 JF - Indian journal of medical sciences JO - Indian J Med Sci VL - 56 IS - 9 N2 - We report an unusual clinical presentation of scurvy in a one and half year old child. The child presented with abrupt onset of peri-orbital ecchymoses and scalp hemorrhage following head injury. The child also had a history of temper tantrums and head banging. Our case did not have any of the typical clinical features of scurvy. The diagnosis was eventually confirmed radiologically and by observing a dramatic response to vitamin C therapy. It is important to remember that scurvy can present atypically i.e. without bleeding gums, painful limbs, pseudo-paralysis or scorbutic rosary. Scurvy should be kept as a differential diagnosis in a young child presenting with bleeding manifestations. Taking a detailed dietary history is of utmost importance in pediatric practice. SN - 0019-5359 UR - https://www.unboundmedicine.com/medline/citation/12710340/An_unusual_presentation_of_scurvy_following_head_injury_ L2 - http://www.diseaseinfosearch.org/result/6471 DB - PRIME DP - Unbound Medicine ER -