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Scurvy in pediatric patients: a review of 28 cases.

Abstract

OBJECTIVE

To study the dietary factors, clinical findings, plasma vitamin C level and post-treatment outcome of scurvy in pediatric patients at Queen Sirikit National Institute of Child Health.

STUDY DESIGN

A retrospective study.

METHOD

The medical and radiographic records of pediatric patients, diagnosed with scurvy at Queen Sirikit National Institute of Child Health from 1995 to 2002 were reviewed.

RESULTS

Twenty-eight pediatric patients were diagnosed with scurvy. Their ages ranged between 10 months-9 years 7 months (median age of 29 months). 93 per cent of the cases were between 1-4 years of age. All were fed with well-cooked foods and small amounts or no vegetables and fruits. Supplementation with ultra heat temperature (UHT) milk was found in 89 per cent, average 5.8 boxes/day and 14.3 months in duration. Eighty-six per cent of cases were misdiagnosed previously. Clinical manifestations involved limp or inability to walk (96%), tenderness of lower limbs (86%), bleeding per gum (36%), fever (18%), and petechial hemorrhage (3.6%). All cases had abnormal radiographic findings compatible with scurvy and 2 cases had epiphyseal separation. All had clinical improvement within the first week after vitamin C supplementation.

CONCLUSION

Vitamin C deficiency was found in the children's intake of small amounts or no vegetables and fruits together with UHT-milk. Frequent manifestations were limping and inability to walk and pain in the lower limbs. Response to vitamin C treatment was dramatic.

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Authors+Show Affiliations

,

Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.

, ,

Source

MeSH

Ascorbic Acid
Child
Child, Preschool
Female
Humans
Infant
Male
Retrospective Studies
Risk Factors
Scurvy
Thailand

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14700174

Citation

Ratanachu-Ek, Suntaree, et al. "Scurvy in Pediatric Patients: a Review of 28 Cases." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 86 Suppl 3, 2003, pp. S734-40.
Ratanachu-Ek S, Sukswai P, Jeerathanyasakun Y, et al. Scurvy in pediatric patients: a review of 28 cases. J Med Assoc Thai. 2003;86 Suppl 3:S734-40.
Ratanachu-Ek, S., Sukswai, P., Jeerathanyasakun, Y., & Wongtapradit, L. (2003). Scurvy in pediatric patients: a review of 28 cases. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 86 Suppl 3, pp. S734-40.
Ratanachu-Ek S, et al. Scurvy in Pediatric Patients: a Review of 28 Cases. J Med Assoc Thai. 2003;86 Suppl 3:S734-40. PubMed PMID: 14700174.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scurvy in pediatric patients: a review of 28 cases. AU - Ratanachu-Ek,Suntaree, AU - Sukswai,Pisit, AU - Jeerathanyasakun,Yongyot, AU - Wongtapradit,Lawan, PY - 2004/1/1/pubmed PY - 2004/2/6/medline PY - 2004/1/1/entrez SP - S734 EP - 40 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 86 Suppl 3 N2 - OBJECTIVE: To study the dietary factors, clinical findings, plasma vitamin C level and post-treatment outcome of scurvy in pediatric patients at Queen Sirikit National Institute of Child Health. STUDY DESIGN: A retrospective study. METHOD: The medical and radiographic records of pediatric patients, diagnosed with scurvy at Queen Sirikit National Institute of Child Health from 1995 to 2002 were reviewed. RESULTS: Twenty-eight pediatric patients were diagnosed with scurvy. Their ages ranged between 10 months-9 years 7 months (median age of 29 months). 93 per cent of the cases were between 1-4 years of age. All were fed with well-cooked foods and small amounts or no vegetables and fruits. Supplementation with ultra heat temperature (UHT) milk was found in 89 per cent, average 5.8 boxes/day and 14.3 months in duration. Eighty-six per cent of cases were misdiagnosed previously. Clinical manifestations involved limp or inability to walk (96%), tenderness of lower limbs (86%), bleeding per gum (36%), fever (18%), and petechial hemorrhage (3.6%). All cases had abnormal radiographic findings compatible with scurvy and 2 cases had epiphyseal separation. All had clinical improvement within the first week after vitamin C supplementation. CONCLUSION: Vitamin C deficiency was found in the children's intake of small amounts or no vegetables and fruits together with UHT-milk. Frequent manifestations were limping and inability to walk and pain in the lower limbs. Response to vitamin C treatment was dramatic. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/14700174/Scurvy_in_pediatric_patients:_a_review_of_28_cases_ L2 - http://www.diseaseinfosearch.org/result/6471 DB - PRIME DP - Unbound Medicine ER -