Mak W M, Thirumoorthy T
Department of Dermatology, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2007 Dec;48(12):1151-5.
Scurvy is an ancient disease. Over the years, with advances in the understanding of the disease, general improvement in health standards and nutrition, scurvy is now rarely encountered. The few cases of scurvy reported in the 21st century mainly occurred in the neglected elderly, alcoholics and food faddist. We describe scurvy due to food selection in a 37-year-old woman with underlying eating and obsessive-compulsive disorders. With vitamin C replacement, psychiatric medication and cognitive behavioural therapy, there was a dramatic improvement in her condition. This case serves as a reminder to the clinician that, even though rare in today's practice, ascorbic acid deficiency is still encountered, and when recognised, is an easily treatable disease.
坏血病是一种古老的疾病。多年来,随着对该疾病认识的进步、健康标准和营养状况的普遍改善,坏血病如今已很少见。21世纪报告的少数坏血病病例主要发生在被忽视的老年人、酗酒者和偏食者身上。我们描述了一名37岁患有潜在饮食和强迫症的女性因食物选择导致的坏血病。通过补充维生素C、使用精神科药物和认知行为疗法,她的病情有了显著改善。该病例提醒临床医生,尽管在当今的医疗实践中很少见,但维生素C缺乏症仍然会遇到,一旦确诊,它是一种易于治疗的疾病。