1995
DOI: 10.1056/nejm199506153322405
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Skin Findings in a Patient with Scurvy

Abstract: The legs of a 46-year-old man with scurvy are shown. The man had a mild mental disorder, and his diet consisted only of bread, pasta, packaged cookies, and water. Large ecchymotic areas extended over the backs of the legs (Panel A). A close-up (Panel B) shows perifollicular hemorrhages and hyperkeratotic papules in which hair is fragmented and buried. The plasma ascorbic acid concentration was 0.11 mg per deciliter (6.25 m mol per liter; normal concentration, Ͼ 0.62 mg per deciliter [35 m mol per liter]) after… Show more

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