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Old world meets modern: a case report of scurvy.
Nutr Clin Pract 2007; 22(4):445-8NC

Abstract

Scurvy is a rarely seen disease resulting from a deficiency of vitamin C. We present a case of scurvy in a 65-year-old man. The patient reported heavy alcohol abuse over the last several years. He also reported that his diet consisted of cheese pizzas only. On physical examination, he was noted to have spontaneous ecchymosis of his lower extremities (denying any history of trauma); poor dentition; and corkscrew hairs on his chest, abdomen, and legs, with associated perifollicular petechia. Punch biopsy of his skin lesions revealed perivascular lymphohistiocytic inflammation, with some focal perifollicular erythrocyte extravasation. A serum ascorbic acid level was <0.12 mg/dL (normal range, 0.20-1.9 mg/dL). A diagnosis of vitamin C deficiency was made. The patient was successfully treated with 1 g/d vitamin C for the first 5 days, followed by a dose of 500 mg/d. Though scurvy is rarely seen in modern times, it is important to identify who is at risk and to recognize the clear and classic signs and symptoms associated with scurvy. Failure to diagnose this disease can potentially lead to expensive and unnecessary medical tests, as well as missing a very simple treatment that can prevent infection and even death.

Authors+Show Affiliations

Department of Gastroenterology and Nutrition, Geisinger Medical Center, 100 N. Academy Ave., Danville, PA 17822, USA. alanwang97@yahoo.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17644699

Citation

Wang, Alan H., and Christopher Still. "Old World Meets Modern: a Case Report of Scurvy." Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, vol. 22, no. 4, 2007, pp. 445-8.
Wang AH, Still C. Old world meets modern: a case report of scurvy. Nutr Clin Pract. 2007;22(4):445-8.
Wang, A. H., & Still, C. (2007). Old world meets modern: a case report of scurvy. Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, 22(4), pp. 445-8.
Wang AH, Still C. Old World Meets Modern: a Case Report of Scurvy. Nutr Clin Pract. 2007;22(4):445-8. PubMed PMID: 17644699.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Old world meets modern: a case report of scurvy. AU - Wang,Alan H, AU - Still,Christopher, PY - 2007/7/24/pubmed PY - 2007/10/10/medline PY - 2007/7/24/entrez SP - 445 EP - 8 JF - Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition JO - Nutr Clin Pract VL - 22 IS - 4 N2 - Scurvy is a rarely seen disease resulting from a deficiency of vitamin C. We present a case of scurvy in a 65-year-old man. The patient reported heavy alcohol abuse over the last several years. He also reported that his diet consisted of cheese pizzas only. On physical examination, he was noted to have spontaneous ecchymosis of his lower extremities (denying any history of trauma); poor dentition; and corkscrew hairs on his chest, abdomen, and legs, with associated perifollicular petechia. Punch biopsy of his skin lesions revealed perivascular lymphohistiocytic inflammation, with some focal perifollicular erythrocyte extravasation. A serum ascorbic acid level was <0.12 mg/dL (normal range, 0.20-1.9 mg/dL). A diagnosis of vitamin C deficiency was made. The patient was successfully treated with 1 g/d vitamin C for the first 5 days, followed by a dose of 500 mg/d. Though scurvy is rarely seen in modern times, it is important to identify who is at risk and to recognize the clear and classic signs and symptoms associated with scurvy. Failure to diagnose this disease can potentially lead to expensive and unnecessary medical tests, as well as missing a very simple treatment that can prevent infection and even death. SN - 0884-5336 UR - https://www.unboundmedicine.com/medline/citation/17644699/Old_world_meets_modern:_a_case_report_of_scurvy_ L2 - https://doi.org/10.1177/0115426507022004445 DB - PRIME DP - Unbound Medicine ER -