Michiels Maykel, Mellema Marieke, Peters Frank P J
Orbis Medisch Centrum, Afd. Interne geneeskunde, Sittard-Geleen, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1638.
A 68-year-old female with an extensive history of unexplained problems presented at the Department of Internal Medicine for an analysis of painful cutaneous abnormalities of the lower legs. A systemic cause could not be found. Later on the general practitioner noted haematoma and petechiae and subsequently a hypovitaminosis C. The patient received active vitamin C supplement for this. The cutaneous abnormalities on the legs had significantly improved after 3 weeks. This patient was found to have symptomatic hypovitaminosis C, also known as scurvy, as a complication of an psychiatric disorder. Although scurvy might appear to be a disease of the past that rarely occurs nowadays, it should nevertheless be given due consideration. This requires a good history taking.
一名68岁女性，有大量不明原因问题的病史，因小腿疼痛性皮肤异常到内科就诊。未发现系统性病因。后来全科医生注意到有血肿和瘀点，随后诊断为维生素C缺乏症。患者为此接受了活性维生素C补充剂治疗。3周后腿部的皮肤异常有明显改善。该患者被发现患有症状性维生素C缺乏症，也称为坏血病，是一种精神疾病的并发症。尽管坏血病似乎是一种过去的疾病，如今很少发生，但仍应予以充分考虑。这需要详细的病史采集。
