A case of scurvy presenting with cutaneous and articular signs

Gabay, C.; Voskuyl, Alexandre E.; Cadiot, Guillaume; Mignon, M; Kahn, M F

doi:10.1007/bf02231544

Cited by 18 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,4,5 Early symptoms of scurvy include fatigue and myalgia and may precede or coexist with the earliest manifestations found in the skin. 6 The principal signs of scurvy consist of follicular hyperkeratosis, coiled hairs, swollen joints, peripheral edema, and hemorrhagic manifestations, including ecchymoses and perifollicular hemorrhages. 7,8 Gum abnormalities consist of discoloration, swelling of gingivae, hemorrhages, and loss of teeth.…”

Section: Discussionmentioning

confidence: 99%

Scurvy in a Patient With Presumptive Oral Lichen Planus

Helms

2002

Nut in Clin Prac

View full text Add to dashboard Cite

Scurvy is a disease caused by vitamin C deficiency. In this study, a patient with scurvy is presented with soreness and ulcerations of the mouth that were previously diagnosed as oral lichen planus. This disease is relatively more common than scurvy in the United States. Physicians should be aware that even in developed countries, soreness of the mouth and ulceration can be seen in patients with scurvy and potentially be misdiagnosed as oral lichen planus.

show abstract

Section: Discussionmentioning

confidence: 99%

Scurvy in a Patient With Presumptive Oral Lichen Planus

Helms

2002

Nut in Clin Prac

View full text Add to dashboard Cite

show abstract

“…A high index of suspicion remains the mainstay for diagnosing scurvy in order to avoid expensive and lengthy laboratory work-up, including aggressive procedures. The laboratory investigations for less typical cases include ascorbic acid concentration,8 serum ascorbic acid level below 11 mg/dl,9 leukocyte ascorbate level8 and ascorbic acid tolerance test 10…”

Section: Discussionmentioning

confidence: 99%

Scurvy Extinct? Think Again!

Desai

Hegde

Bailoor

et al. 2009

International Journal of Clinical Pediatric Dentistry

View full text Add to dashboard Cite

Scurvy is still seen sporadically in the developed world. Scurvy, a dietary disease due to the deficient intake of vitamin C, is uncommon in the pediatric population. Scurvy occurs as a result of decreased vitamin C consumption or absorption. We present the case of a 6-year-old boy visiting our department with bleeding gums, musculoskeletal pain, and weakness. Four days after starting oral vitamin C supplementation, there was significant improvement in the patient’s gingival appearance and general health. The clinical presentation and laboratory investigation (Hemoglobin %, total blood picture) , together with the dramatic therapeutic response to ascorbic acid administration, confirmed the diagnosis of scurvy. Scurvy can be missed unless oral and general physicians maintain a high index of suspicion. Therefore it is time to wonder if scurvy is extinct yet.

show abstract

“…Gingivitis, bleeding gums and loosening of teeth are most prominent in individuals with pre‐existing periodontal disease 16 . Haemorrhages can occur into muscles, joints, submucosa, subperiosteum and conjunctiva, producing site‐specific symptoms 17–19 . Patients also commonly complain of generalized weakness and lethargy.…”

Section: Discussionmentioning

confidence: 99%

Scurvy: A cutaneous clinical diagnosis

2003

View full text Add to dashboard Cite

Two cases of scurvy diagnosed following presentation with a purpuric rash are presented. A 44-year-old man developed scurvy as a result of poor dietary intake of vitamin C. This occurred because of a number of factors. including poor dentition, diarrhoea, depression and benzodiazepine/narcotic dependence. A 69-year-old man with acute myeloid leukaemic transformation of myelodysplastic syndrome developed mucositis, nausea, vomiting and diarrhoea as complications of chemotherapy. This led to poor dietary intake and consequently scurvy. Both cases demonstrated specific and diagnostic cutaneous manifestations of scurvy, particularly perifollicular purpura, ecchymoses and coiled corkscrew hairs. The diagnosis was supported by specific diet history. Ascorbic acid tolerance test was used as a simple laboratory method to confirm the clinical diagnosis.

show abstract

A case of scurvy presenting with cutaneous and articular signs

Abstract: This report is on a patient, who presented purpura and hemarthrosis in a context of vitamin C deficiency. This case gives us the opportunity to discuss the differential diagnosis, the clinical features, the pathogenicity and the treatment of this rare condition.

Cited by 18 publications

References 9 publications

Scurvy in a Patient With Presumptive Oral Lichen Planus

Scurvy in a Patient With Presumptive Oral Lichen Planus

Scurvy Extinct? Think Again!

Scurvy: A cutaneous clinical diagnosis

Contact Info

Product

Resources

About