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Do you remember scurvy?
Clin Ter 2014; 165(5):253-6CT

Abstract

Scurvy, a disease caused by a deficiency of ascorbic acid (vitamin C), is not very common disease especially in pediatric age. In the late nineteenth century, instead, we assisted to increase incidence of this problem for the use of heated milk and convenience foods. We report two cases of scurvy: a child of 3 years old came to our observation for an important gums' stomatitis, fever, widespread petechiae and ecchymosis on the skin of the lower limbs; in the second moment he had pain in upper and lower limbs with difficulty in walking; a second child of 4 years came to our observation for pain lower limbs and maintained the posture of the legs down, inability to walking, with reduced muscle tone and trophism in all limbs; at the instrumental examination he had an alveolar hemorrhage. The two boys had a history of a diet completely lacking in fruits and vegetables; they were drinking almost only milk. They carried various laboratory and instrumental tests, in particular X-ray of lower limbs that showed "a thick sclerotic metaphyseal line with beak-like excrescences of tibiae and femur". The characteristic radiological appearance, the particular clinical aspects, the dietary history and the dosage of vitamin C, have led us to the diagnosis of scurvy. They started therapy with vitamin C and they had a progressive improvement in general condition.

Authors+Show Affiliations

Department of Pediatrics, University "Magna Graecia" of Catanzaro, Italy.Department of Pediatrics, University "Magna Graecia" of Catanzaro, Italy.Departments of Pediatric, Pugliese-Ciaccio Hospital, Catanzaro, Italy.Departments of Hematology-Oncology, Pugliese-Ciaccio Hospital, Catanzaro, Italy.Departments of Pediatric, Pugliese-Ciaccio Hospital, Catanzaro, Italy.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25366945

Citation

Talarico, V, et al. "Do You Remember Scurvy?" La Clinica Terapeutica, vol. 165, no. 5, 2014, pp. 253-6.
Talarico V, Aloe M, Barreca M, et al. Do you remember scurvy? Clin Ter. 2014;165(5):253-6.
Talarico, V., Aloe, M., Barreca, M., Galati, M. C., & Raiola, G. (2014). Do you remember scurvy? La Clinica Terapeutica, 165(5), pp. 253-6. doi:10.7417/CT.2014.1755.
Talarico V, et al. Do You Remember Scurvy. Clin Ter. 2014;165(5):253-6. PubMed PMID: 25366945.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do you remember scurvy? AU - Talarico,V, AU - Aloe,M, AU - Barreca,M, AU - Galati,M C, AU - Raiola,G, PY - 2014/11/5/entrez PY - 2014/11/5/pubmed PY - 2016/12/15/medline KW - gums’ stomatitis KW - pain KW - petechiae KW - scurvy KW - vitamin C SP - 253 EP - 6 JF - La Clinica terapeutica JO - Clin Ter VL - 165 IS - 5 N2 - Scurvy, a disease caused by a deficiency of ascorbic acid (vitamin C), is not very common disease especially in pediatric age. In the late nineteenth century, instead, we assisted to increase incidence of this problem for the use of heated milk and convenience foods. We report two cases of scurvy: a child of 3 years old came to our observation for an important gums' stomatitis, fever, widespread petechiae and ecchymosis on the skin of the lower limbs; in the second moment he had pain in upper and lower limbs with difficulty in walking; a second child of 4 years came to our observation for pain lower limbs and maintained the posture of the legs down, inability to walking, with reduced muscle tone and trophism in all limbs; at the instrumental examination he had an alveolar hemorrhage. The two boys had a history of a diet completely lacking in fruits and vegetables; they were drinking almost only milk. They carried various laboratory and instrumental tests, in particular X-ray of lower limbs that showed "a thick sclerotic metaphyseal line with beak-like excrescences of tibiae and femur". The characteristic radiological appearance, the particular clinical aspects, the dietary history and the dosage of vitamin C, have led us to the diagnosis of scurvy. They started therapy with vitamin C and they had a progressive improvement in general condition. SN - 1972-6007 UR - https://www.unboundmedicine.com/medline/citation/25366945/Do_you_remember_scurvy L2 - http://www.seu-roma.it/riviste/clinica_terapeutica/apps/autos.php?id=1364 DB - PRIME DP - Unbound Medicine ER -