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Scurvy presenting in a homeless 32-year-old male: a case report.

Eur J Clin Nutr

December 2024

Division of Academic Affairs and Research, Orlando Health, Orlando, Florida, USA.

Article Synopsis
  • Vitamin C deficiency, or scurvy, is an ancient disease that still affects specific groups today, including smokers, alcoholics, the elderly, and those with absorption issues.
  • Symptoms include perifollicular hemorrhage, corkscrew hairs, and petechiae that can worsen to more severe bruising.
  • Early diagnosis helps to avoid unnecessary tests, and with vitamin C treatment, patients like a 45-year-old alcoholic can see quick improvements in their condition.
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Scurvy, characterized by vitamin C deficiency, typically manifests with various symptoms, most commonly skin lesions. However, the presentation of a solitary skin lesion is considered atypical. An elderly patient with a history of heavy alcohol consumption presented with a small skin lesion that developed rapidly into a solitary open wound without any preceding trauma.

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Scurvy: Rediscovering a Forgotten Disease.

Diseases

May 2023

Division of Gastroenterology and Hepatology, Charleston Area Medical Center, West Virginia University, Charleston, WV 25304, USA.

Scurvy is a nutritional deficiency caused by low vitamin C levels that has been described since ancient times. It leads to a varied presentation, affecting multiple organ systems due to its role in the biochemical reactions of connective tissue synthesis. Common manifestations include gingival bleeding, arthralgias, skin discoloration, impaired wound healing, perifollicular hemorrhage, and ecchymoses.

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[Scurvy still occurs].

Ned Tijdschr Geneeskd

March 2023

Tergooi MC, afd. Interne Geneeskunde, Hilversum.

Scurvy is taught in history class and most doctors consider it a disease of the past. However, several studies show that vitamin C deficiency is highly prevalent among alcoholics, but also in elderly, people with low socioeconomic status, mental disorders or a restricted diet (7.1 - 25%).

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The most common cutaneous manifestations of alcoholism include urticarial reaction, flushing, porphyria cutanea tarda, psoriasis, rosacea, seborrheic dermatitis, and pruritus. Here, we present a case of a young male with a history of alcohol abuse who presented with non-blanching, petechial, and perifollicular macular rash secondary to vitamin C deficiency in view of poor oral intake. The rash improved significantly with vitamin C supplementation.

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