Salvi A, Coppini A, Lazzaroni G, Manganoni A
Medicina generale, Clinica medica, Università, Brescia.
Recenti Prog Med. 1992 Nov;83(11):652-3.
A case of vascular purpura of the lower limbs in a 67 year old man is described. A diagnosis of scurvy was made in consideration of the absence of signs of vasculitis on skin biopsy, the history of a diet extremely poor in vitamin C and the prompt resolution of clinical picture with administration of vitamin C. The authors emphasize the importance of taking into consideration scurvy in the differential diagnosis of vascular purpura: this may spare expensive investigations and a dangerous delay in appropriate therapy.
本文描述了一名67岁男性下肢血管性紫癜的病例。考虑到皮肤活检未发现血管炎迹象、维生素C严重缺乏的饮食史以及补充维生素C后临床症状迅速缓解,最终诊断为坏血病。作者强调在血管性紫癜的鉴别诊断中考虑坏血病的重要性:这可以避免进行昂贵的检查以及在适当治疗中出现危险的延误。