A Case of Repeated Hemorrhage of Lower Legs Finally Diagnosed as Scurvy

Hiramatsu, Narumi; Kuwano, Shihomi; Tokuyama, Kiyonobu; Iwasaki, Toshihiro

doi:10.2169/naika.110.2256

J. Jpn. Soc. Intern. Med

2021

DOI: 10.2169/naika.110.2256

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A Case of Repeated Hemorrhage of Lower Legs Finally Diagnosed as Scurvy

Narumi Hiramatsu

Shihomi Kuwano

Kiyonobu Tokuyama

et al.

Abstract: 岡崎市民病院血液内科， 2) 同臨床研修センター Case Report；A case of repeated hemorrhage of lower legs finally diagnosed as scurvy.

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2024

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Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

de Boer,

Sawhney

2024

BMC Pediatr

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Background Scurvy is an uncommon disease in developed countries caused by deficiency of vitamin C. We present a case of scurvy in a 14-year-old male with autism with both novel presentation and imaging findings. This case had the novel presentation of lower limb deep vein thrombosis (DVT) secondary to compression of the external iliac vein from large bilateral iliac wing subperiosteal hematomas. Subperiosteal hematoma is a well-recognised feature of scurvy but large and bilateral pelvic subperiosteal hematoma causing DVT has not previously been described. Case presentation A 14 year old Caucasian male with background of autism and severe dietary restriction presented with lower limb swelling and immobility. He was diagnosed with lower limb DVT. Further investigation revealed an iron deficiency anaemia, and he was found on MRI to have large bilateral subperiosteal iliac hematomata causing compression of the iliac vessels. He improved following treatment with vitamin C replacement and follow-up imaging demonstrated resolution of the DVT and hematoma. Conclusion DVT is rare in children and when diagnosed should prompt investigation as to the underlying cause. This case demonstrates an unusual cause of DVT and as an unusual presentation of paediatric scurvy.

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Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

de Boer,

Sawhney

2024

BMC Pediatr

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A Case of Repeated Hemorrhage of Lower Legs Finally Diagnosed as Scurvy

Abstract: 岡崎市民病院血液内科， 2) 同臨床研修センター Case Report；A case of repeated hemorrhage of lower legs finally diagnosed as scurvy.

Cited by 1 publication

References 7 publications

Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

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A Case of Repeated Hemorrhage of Lower Legs Finally Diagnosed as Scurvy

Abstract: 岡崎市民病院血液内科， 2) 同 臨床研修センター Case Report；A case of repeated hemorrhage of lower legs finally diagnosed as scurvy.

Cited by 1 publication

References 7 publications

Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

Pediatric scurvy case report: a novel presentation with deep vein thrombosis secondary to large bilateral spontaneous iliac subperiosteal hematomas

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Abstract: 岡崎市民病院血液内科， 2) 同臨床研修センター Case Report；A case of repeated hemorrhage of lower legs finally diagnosed as scurvy.