Tags

Type your tag names separated by a space and hit enter

A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis.
J Cutan Med Surg. 2016 Nov; 20(6):592-595.JC

Abstract

IMPORTANCE

Scurvy remains prevalent in certain populations, including addicts, people of low socioeconomic status, and the severely malnourished. It classically presents as follicular hyperkeratosis and perifollicular hemorrhage of the lower extremities, as well as bleeding in other areas such as the gingiva and joints. This case presentation and literature review highlights the common pathophysiological findings associated with scurvy and current methods of diagnosis and treatment.

OBSERVATION

The patient described in this case presented with sudden oligoarthritis and purpura of the lower extremities. Following progression of the patient's symptoms and a low vitamin C serum concentration, the patient was treated with vitamin C supplementation and dramatically improved. This was considered to be the result of an underlying vitamin C deficiency secondary to insufficient fruit and vegetable intake due to allergies.

CONCLUSIONS AND RELEVANCE

This case highlights the importance of maintaining a high index of suspicion for scurvy in atypical presentations of purpura not better explained by another disease or in additional populations at high risk of vitamin C deficiency. Early diagnosis by either a primary care physician or dermatologist can expedite the treatment process and improve patient prognosis.

Authors+Show Affiliations

Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.Division of Rheumatology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.Division of Dermatology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada sfahim@toh.ca.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

27416817

Citation

Mintsoulis, Danielle, et al. "A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis." Journal of Cutaneous Medicine and Surgery, vol. 20, no. 6, 2016, pp. 592-595.
Mintsoulis D, Milman N, Fahim S. A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis. J Cutan Med Surg. 2016;20(6):592-595.
Mintsoulis, D., Milman, N., & Fahim, S. (2016). A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis. Journal of Cutaneous Medicine and Surgery, 20(6), 592-595.
Mintsoulis D, Milman N, Fahim S. A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis. J Cutan Med Surg. 2016;20(6):592-595. PubMed PMID: 27416817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Case of Scurvy-Uncommon Disease-Presenting as Panniculitis, Purpura, and Oligoarthritis. AU - Mintsoulis,Danielle, AU - Milman,Nataliya, AU - Fahim,Simone, Y1 - 2016/07/14/ PY - 2016/7/16/pubmed PY - 2017/7/15/medline PY - 2016/7/16/entrez KW - oligoarthritis KW - panniculitis KW - purpura KW - scurvy KW - vitamin C SP - 592 EP - 595 JF - Journal of cutaneous medicine and surgery JO - J Cutan Med Surg VL - 20 IS - 6 N2 - IMPORTANCE: Scurvy remains prevalent in certain populations, including addicts, people of low socioeconomic status, and the severely malnourished. It classically presents as follicular hyperkeratosis and perifollicular hemorrhage of the lower extremities, as well as bleeding in other areas such as the gingiva and joints. This case presentation and literature review highlights the common pathophysiological findings associated with scurvy and current methods of diagnosis and treatment. OBSERVATION: The patient described in this case presented with sudden oligoarthritis and purpura of the lower extremities. Following progression of the patient's symptoms and a low vitamin C serum concentration, the patient was treated with vitamin C supplementation and dramatically improved. This was considered to be the result of an underlying vitamin C deficiency secondary to insufficient fruit and vegetable intake due to allergies. CONCLUSIONS AND RELEVANCE: This case highlights the importance of maintaining a high index of suspicion for scurvy in atypical presentations of purpura not better explained by another disease or in additional populations at high risk of vitamin C deficiency. Early diagnosis by either a primary care physician or dermatologist can expedite the treatment process and improve patient prognosis. SN - 1615-7109 UR - https://www.unboundmedicine.com/medline/citation/27416817/A_Case_of_Scurvy_Uncommon_Disease_Presenting_as_Panniculitis_Purpura_and_Oligoarthritis_ L2 - http://journals.sagepub.com/doi/full/10.1177/1203475416660311?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.