Scurvy Due to Selective Diet in a Seemingly Healthy 4-Year-Old Boy.

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ID: 59411
2019
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Abstract
Scurvy is a rare disease in developed nations. In the field of pediatrics, it primarily is seen in children with developmental and behavioral issues, malabsorptive processes, or diseases involving dysphagia. We present the case of an otherwise developmentally appropriate 4-year-old boy who developed scurvy after gradual self-restriction of his diet. He initially presented with a limp and a rash and was subsequently found to have anemia and hematuria. A serum vitamin C level was undetectable, and after review of the MRI of his lower extremities, the clinical findings supported a diagnosis of scurvy. Although scurvy is rare in developed nations, this diagnosis should be considered in a patient with the clinical constellation of lower-extremity pain or arthralgias, a nonblanching rash, easy bleeding or bruising, fatigue, and anemia. This case highlights the importance of carefully assessing a child's dietary and developmental status at well-child visits, which can help avoid a more invasive workup.
Reference Key
nastro2019scurvypediatrics Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nastro, Andrew;Rosenwasser, Natalie;Daniels, Steven P;Magnani, Jessie;Endo, Yoshimi;Hampton, Elisa;Pan, Nancy;Kovanlikaya, Arzu;
Journal pediatrics
Year 2019
DOI
e20182824
URL
Keywords
dysphagia outcome predictors mandibular reconstruction osteocutaneous fibula free flap swallowing outcomes vfss videofluoroscopic swallow study

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