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Scurvy in pediatric patients: a review of 28 cases.
J Med Assoc Thai 2003; 86 Suppl 3:S734-40JM

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.

Authors+Show Affiliations

Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand.No affiliation info availableNo affiliation info availableNo affiliation info available

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 -