Halligan Timothy J, Russell Nathan G, Dunn William J, Caldroney Steven J, Skelton Timothy B
Keesler Medical Center, Biloxi, MS, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Dec;100(6):688-92. doi: 10.1016/j.tripleo.2005.04.023. Epub 2005 Sep 26.
Scurvy is a nondiscriminatory disease process resulting from a nutritional deficiency of ascorbic acid (vitamin C). The severe vitamin deficiency produces a breakdown in the cellular structure of the body. This case report describes a middle-age woman with a history of edema, bruising of the lower extremities, anemia, and severe periodontal disease. Her presentation and medical history are classic for the signs of scurvy. Scurvy is now only uncommonly seen in developed countries, but there are still vulnerable populations whose nutritional status can lead to scurvy. The aim of this report is to help the clinician identify and treat scurvy, a disease that was once feared for its high mortality but is now easily treatable, even in cases that have progressed to multiple organ dysfunction and failure.
坏血病是一种因抗坏血酸（维生素C）营养缺乏导致的无差别疾病过程。严重的维生素缺乏会导致身体细胞结构的破坏。本病例报告描述了一名中年女性，有水肿、下肢瘀斑、贫血和严重牙周病病史。她的临床表现和病史是坏血病体征的典型表现。坏血病如今在发达国家已不常见，但仍有一些易受影响的人群，其营养状况可能导致坏血病。本报告的目的是帮助临床医生识别和治疗坏血病，这种疾病曾因其高死亡率而令人恐惧，但如今即使在已发展为多器官功能障碍和衰竭的病例中也易于治疗。
