Scurvy is still seen sporadically in the developed world. At a time
when subclinical vitamin C deficiency in the general population is being
recognized increasingly, the need for clinicians to be aware of this
disease remains. We present the case of a 9-year-old boy admitted to
hospital with musculoskeletal pain, weakness and changes in the skin and
gums. After extensive investigation, he was found to have vitamin C
deficiency resulting from a restricted eating pattern. Musculoskeletal
complaints are a common mode of presentation of scurvy in children.
Failure to appreciate this fact and the risk factors for poor vitamin C
intake in the paediatric age group can result in unnecessary and
invasive investigations for apparent 'multisystem' disease.
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Authors:
JD
Akikusa
D
Garrick
MC
Nash
Key words:
diet
scurvy
vitamin C
deficiency
Affiliations
1Department of General
Paediatrics, Royal Children's Hospital, Melbourne and 2Goulburn Valley Base Hospital, Shepparton,
Victoria, Australia
Correspondence
Correspondence: Dr JD Akikusa, Department of
General Paediatrics, Royal Children's Hospital, Flemington Road,
Parkville, Melbourne 3052, Australia. Fax: +61 3 9345 6667; email:
jonathan.akikusa@sympatico.ca
To cite this article Akikusa, JD, Garrick, D & Nash, MC
Scurvy: Forgotten but not gone. Journal of Paediatrics and Child Health39 (1), 75-77. doi: 10.1046/
j.1440-1754.2003.00093.x
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