Publication Date
4-1-2024
Journal
Cureus
DOI
10.7759/cureus.58782
PMID
38784361
PMCID
PMC11112398
PubMedCentral® Posted Date
4-22-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
scurvy, vitamin c, diet, anorexia nervosa, corkscrew hairs, perifollicular hemorrhage, ascorbic acid
Abstract
Scurvy is a rare condition characterized by a deficiency in dietary vitamin C. Historically a disease taught in the context of long ocean voyages with limited vitamin intake, it is now rare in developed nations. The classical physical exam findings include gingival bleeding, perifollicular hemorrhages, and corkscrew hairs. We discuss the case of a 15-year-old female with scurvy whose initial presentation suggested more common diagnoses seen in the emergency department setting. Her course was complicated by a prior history of anorexia nervosa and a restrictive diet that lacked necessary vitamins. Once the patient's dietary habits were identified, a detailed physical exam revealed the characteristic findings. She was subsequently discharged with oral vitamin C supplements and was scheduled for outpatient follow-up to monitor symptoms.
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