A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10920146PMC
http://dx.doi.org/10.1016/j.jaccas.2024.102222DOI Listing

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