Valentini Diletta, Barbuti Domenico, Grandin Annalisa, De Horatio Laura Tanturri, Villani Alberto
Department of Pediatrics, Ospedale Bambino Gesù, Rome, Italy.
BMJ Case Rep. 2011 Apr 13;2011:bcr1020103383. doi: 10.1136/bcr.10.2010.3383.
We report on a 13-month-old boy who experienced pain while mobilising, and had bruising and swelling of the lower limbs. Laboratory examinations revealed anaemia and skeletal x-rays showed irregularity and thickening of the provisional zones of calcification of lower and upper limbs. The boy had been fed with only goat milk, homogenised meat, fruits and vegetables, all of which had been boiled together. Forty-eight hours after starting oral vitamin C supplementation, the patient showed dramatic clinical improvement. The clinical presentation, laboratory and imaging findings, together with the good response to vitamin C intake, allowed us to confirm the diagnosis of infantile scurvy. Scurvy is a disease that can be found among children, especially among groups with restrictive eating pattern. Fortunately, once diagnosed, scurvy is an easily treatable disease by administration of vitamin C and a correct diet that is rich in fruits, vegetables and fresh meat, all of which contained vitamin C.
我们报告了一名13个月大的男孩,他在活动时感到疼痛,下肢有瘀伤和肿胀。实验室检查显示贫血,骨骼X线显示上下肢钙化临时带不规则且增厚。该男孩仅喂食山羊奶、均质化肉类、水果和蔬菜,所有这些都一起煮过。开始口服补充维生素C 48小时后,患者临床症状显著改善。临床表现、实验室和影像学检查结果,以及对维生素C摄入的良好反应,使我们得以确诊为婴儿坏血病。坏血病是一种可在儿童中发现的疾病,尤其是在饮食受限的群体中。幸运的是,一旦确诊,坏血病通过补充维生素C和富含水果、蔬菜及鲜肉(均含有维生素C)的正确饮食很容易治疗。