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Ascorbic acid deficiency: a case report.

Abstract

Scurvy is well known since ancient times, but it is rarely seen in the developed world today owing to the discovery of its link to the dietary deficiency of ascorbic acid. It is very uncommon in the pediatric population, and is usually seen in children with severely restricted diet attributable to psychiatric or developmental disturbances. The condition presents itself by the formation of perifollicular petechiae and bruising, gingival inflammation and bleeding, and, in children, bone disease. We report a case of scurvy in a 10-year-old developmentally delayed boy who had a diet markedly deficient in vitamin C resulting from extremely limited food choices. He presented with debilitating bone pain, inflammatory gingival disease, and perifollicular hyperkeratosis. The diagnosis was made based on clinical and radiographic findings. The importance of diet history is emphasized. We present this case with the aim to help the clinician identify scurvy and implement treatment for a potentially fatal but easily curable disease.

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  • Authors+Show Affiliations

    ,

    Unit of Pedodontic and Preventive Dentistry, Oral Health Sciences Centre, Postgraduate Institute of Medical and Educational Research, Chandigarh, India. smile_mishi@yahoo.com

    , ,

    Source

    MeSH

    Ascorbic Acid
    Ascorbic Acid Deficiency
    Child
    Developmental Disabilities
    Diagnosis, Differential
    Diet
    Humans
    India
    Male
    Scurvy

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22041118

    Citation

    Solanki, Mishthu, et al. "Ascorbic Acid Deficiency: a Case Report." Journal of Dentistry for Children (Chicago, Ill.), vol. 78, no. 2, 2011, pp. 115-9.
    Solanki M, Baweja DK, Patil SS, et al. Ascorbic acid deficiency: a case report. J Dent Child (Chic). 2011;78(2):115-9.
    Solanki, M., Baweja, D. K., Patil, S. S., & Shivaprakash, P. K. (2011). Ascorbic acid deficiency: a case report. Journal of Dentistry for Children (Chicago, Ill.), 78(2), pp. 115-9.
    Solanki M, et al. Ascorbic Acid Deficiency: a Case Report. J Dent Child (Chic). 2011;78(2):115-9. PubMed PMID: 22041118.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Ascorbic acid deficiency: a case report. AU - Solanki,Mishthu, AU - Baweja,Devinder Kaur, AU - Patil,Sandyadevi S, AU - Shivaprakash,P K, PY - 2011/11/2/entrez PY - 2011/11/2/pubmed PY - 2012/3/1/medline SP - 115 EP - 9 JF - Journal of dentistry for children (Chicago, Ill.) JO - J Dent Child (Chic) VL - 78 IS - 2 N2 - Scurvy is well known since ancient times, but it is rarely seen in the developed world today owing to the discovery of its link to the dietary deficiency of ascorbic acid. It is very uncommon in the pediatric population, and is usually seen in children with severely restricted diet attributable to psychiatric or developmental disturbances. The condition presents itself by the formation of perifollicular petechiae and bruising, gingival inflammation and bleeding, and, in children, bone disease. We report a case of scurvy in a 10-year-old developmentally delayed boy who had a diet markedly deficient in vitamin C resulting from extremely limited food choices. He presented with debilitating bone pain, inflammatory gingival disease, and perifollicular hyperkeratosis. The diagnosis was made based on clinical and radiographic findings. The importance of diet history is emphasized. We present this case with the aim to help the clinician identify scurvy and implement treatment for a potentially fatal but easily curable disease. SN - 1935-5068 UR - https://www.unboundmedicine.com/medline/citation/22041118/Ascorbic_acid_deficiency:_a_case_report_ L2 - https://www.ingentaconnect.com/openurl?genre=article&issn=1551-8949&volume=78&issue=2&spage=115&aulast=Solanki DB - PRIME DP - Unbound Medicine ER -