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Scurvy is still present in developed countries.
J Gen Intern Med 2008; 23(8):1281-4JG

Abstract

INTRODUCTION

Scurvy, while uncommon, still occurs in developed countries despite the widespread availability of vitamins and fortified foods. A vitamin C deficiency prevalence of 10 to 14% in adults was reported in the National Health and Nutrition Examination Survey (NHANES) in 1994.

OBJECTIVE

We report the case of a 57-year-old male who presented with a combined vitamin C deficiency (scurvy) and a Zinc deficiency.

INTERVENTIONS

He came to the emergency department complaining of a painful swollen ecchymotic leg and dyspnea. Prescriptions for narcotics did not relieve his symptoms. When a detailed dietary history was obtained, we added scurvy to the differential diagnosis. An extensive evaluation excluded trauma, coagulopathies, neoplasia, and vasculitides.

MAIN RESULT

The combination of a classic skin biopsy and a low vitamin C level confirmed the diagnosis.

CONCLUSION

This presentation illustrates the necessity of including scurvy in the differential diagnosis of ecchymoses and demonstrates specific populations at risk: single adults and the elderly with deficient diets.

Authors+Show Affiliations

Department of Family Practice, University of Alabama, Huntsville, AL, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18459013

Citation

Velandia, Bertha, et al. "Scurvy Is Still Present in Developed Countries." Journal of General Internal Medicine, vol. 23, no. 8, 2008, pp. 1281-4.
Velandia B, Centor RM, McConnell V, et al. Scurvy is still present in developed countries. J Gen Intern Med. 2008;23(8):1281-4.
Velandia, B., Centor, R. M., McConnell, V., & Shah, M. (2008). Scurvy is still present in developed countries. Journal of General Internal Medicine, 23(8), pp. 1281-4. doi:10.1007/s11606-008-0577-1.
Velandia B, et al. Scurvy Is Still Present in Developed Countries. J Gen Intern Med. 2008;23(8):1281-4. PubMed PMID: 18459013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scurvy is still present in developed countries. AU - Velandia,Bertha, AU - Centor,Robert M, AU - McConnell,Vicky, AU - Shah,Mobin, Y1 - 2008/05/06/ PY - 2007/03/01/received PY - 2008/02/25/accepted PY - 2007/07/19/revised PY - 2008/5/7/pubmed PY - 2011/12/30/medline PY - 2008/5/7/entrez SP - 1281 EP - 4 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 23 IS - 8 N2 - INTRODUCTION: Scurvy, while uncommon, still occurs in developed countries despite the widespread availability of vitamins and fortified foods. A vitamin C deficiency prevalence of 10 to 14% in adults was reported in the National Health and Nutrition Examination Survey (NHANES) in 1994. OBJECTIVE: We report the case of a 57-year-old male who presented with a combined vitamin C deficiency (scurvy) and a Zinc deficiency. INTERVENTIONS: He came to the emergency department complaining of a painful swollen ecchymotic leg and dyspnea. Prescriptions for narcotics did not relieve his symptoms. When a detailed dietary history was obtained, we added scurvy to the differential diagnosis. An extensive evaluation excluded trauma, coagulopathies, neoplasia, and vasculitides. MAIN RESULT: The combination of a classic skin biopsy and a low vitamin C level confirmed the diagnosis. CONCLUSION: This presentation illustrates the necessity of including scurvy in the differential diagnosis of ecchymoses and demonstrates specific populations at risk: single adults and the elderly with deficient diets. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/18459013/Scurvy_is_still_present_in_developed_countries_ L2 - https://dx.doi.org/10.1007/s11606-008-0577-1 DB - PRIME DP - Unbound Medicine ER -