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Inability to walk due to scurvy: A forgotten disease.

Abstract

Scurvy has become rare in modern societies, but should be considered in malnourished persons, alcoholics, and in infants on unsupplemented milk diets who present with musculoskeletal pain or a bleeding tendency. The diagnosis of scurvy can be challenging because of the rare incidence and vague and nonspecific early symptoms. We report here a case of scurvy in a young boy who presented with an inability to walk and severe musculoskeletal pain. The diagnosis was established based on his clinical picture, radiological appearance, and low serum level of vitamin C. The patient responded well to vitamin C supplementation with full resolution of his symptoms. He regained his ability to walk and his family was happy and satisfied with the outcome of treatment. Although the incidence of scurvy has become low in Saudi Arabia, it can still occur and early recognition is important because of the excellent prognosis.

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  • Authors+Show Affiliations

    ,

    Neurology Section, King Abdulaziz Medical City, Jeddah, Saudi Arabia. halgahtani@hotmail.com

    , ,

    Source

    MeSH

    Ascorbic Acid
    Ascorbic Acid Deficiency
    Child
    Humans
    Male
    Pain
    Prognosis
    Saudi Arabia
    Scurvy
    Severity of Illness Index
    Vitamins
    Walking

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    20622353

    Citation

    Algahtani, Hussein A., et al. "Inability to Walk Due to Scurvy: a Forgotten Disease." Annals of Saudi Medicine, vol. 30, no. 4, 2010, pp. 325-8.
    Algahtani HA, Abdu AP, Khojah IM, et al. Inability to walk due to scurvy: A forgotten disease. Ann Saudi Med. 2010;30(4):325-8.
    Algahtani, H. A., Abdu, A. P., Khojah, I. M., & Al-Khathaami, A. M. (2010). Inability to walk due to scurvy: A forgotten disease. Annals of Saudi Medicine, 30(4), pp. 325-8. doi:10.4103/0256-4947.65266.
    Algahtani HA, et al. Inability to Walk Due to Scurvy: a Forgotten Disease. Ann Saudi Med. 2010;30(4):325-8. PubMed PMID: 20622353.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Inability to walk due to scurvy: A forgotten disease. AU - Algahtani,Hussein A, AU - Abdu,Abduljaleel P, AU - Khojah,Imad M, AU - Al-Khathaami,Ali M, PY - 2010/7/13/entrez PY - 2010/7/14/pubmed PY - 2010/10/27/medline SP - 325 EP - 8 JF - Annals of Saudi medicine JO - Ann Saudi Med VL - 30 IS - 4 N2 - Scurvy has become rare in modern societies, but should be considered in malnourished persons, alcoholics, and in infants on unsupplemented milk diets who present with musculoskeletal pain or a bleeding tendency. The diagnosis of scurvy can be challenging because of the rare incidence and vague and nonspecific early symptoms. We report here a case of scurvy in a young boy who presented with an inability to walk and severe musculoskeletal pain. The diagnosis was established based on his clinical picture, radiological appearance, and low serum level of vitamin C. The patient responded well to vitamin C supplementation with full resolution of his symptoms. He regained his ability to walk and his family was happy and satisfied with the outcome of treatment. Although the incidence of scurvy has become low in Saudi Arabia, it can still occur and early recognition is important because of the excellent prognosis. SN - 0975-4466 UR - https://www.unboundmedicine.com/medline/citation/20622353/Inability_to_walk_due_to_scurvy:_A_forgotten_disease_ L2 - https://doi.org/10.4103/0256-4947.65266 DB - PRIME DP - Unbound Medicine ER -