Algahtani Hussein A, Abdu Abduljaleel P, Khojah Imad M, Al-Khathaami Ali M
Neurology Section, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Ann Saudi Med. 2010 Jul-Aug;30(4):325-8. doi: 10.4103/0256-4947.65266.
Scurvy has become rare in modern societies, but should be considered in malnourished persons, alcoholics, and in infants on unsupplemented milk diets who present with musculoskeletal pain or a bleeding tendency. The diagnosis of scurvy can be challenging because of the rare incidence and vague and nonspecific early symptoms. We report here a case of scurvy in a young boy who presented with an inability to walk and severe musculoskeletal pain. The diagnosis was established based on his clinical picture, radiological appearance, and low serum level of vitamin C. The patient responded well to vitamin C supplementation with full resolution of his symptoms. He regained his ability to walk and his family was happy and satisfied with the outcome of treatment. Although the incidence of scurvy has become low in Saudi Arabia, it can still occur and early recognition is important because of the excellent prognosis.
坏血病在现代社会已较为罕见，但对于出现肌肉骨骼疼痛或有出血倾向的营养不良者、酗酒者以及未补充维生素的以牛奶为食的婴儿，应考虑坏血病的可能。由于坏血病发病率低且早期症状模糊、不具特异性，其诊断颇具挑战性。我们在此报告一例患坏血病的小男孩，他出现了无法行走及严重的肌肉骨骼疼痛症状。根据其临床表现、影像学表现及低血清维生素C水平确诊。患者补充维生素C后症状完全缓解，恢复良好。他重新获得了行走能力，其家人对治疗结果感到高兴和满意。尽管沙特阿拉伯坏血病的发病率已降低，但仍可能发生，鉴于其预后良好，早期识别很重要。
