Saha Pritam, Pal Radha Binod, Das Ira, Sinha Malay Kumar
Department of Pediatrics, Medical College & Hospital, 88, College Street, Kolkata 700073, West Bengal, India.
Int Ophthalmol. 2012 Dec;32(6):599-601. doi: 10.1007/s10792-012-9602-9. Epub 2012 Jul 1.
Scurvy is one of the oldest diseases known to mankind, caused by vitamin C deficiency. Nowadays it exists primarily in certain vulnerable populations such as patients with neurodevelopmental disabilities. Proptosis due to orbital haemorrhage is a rare complication of scurvy. Here we describe a case of diaplegic cerebral palsy presented with sudden onset of bilateral proptosis and swollen and tender knee joints. Subsequent computed tomography of the orbit revealed hematoma in the superior aspect of both orbits in the extraconal position. X-ray of the knee joints revealed bony changes consistent with scurvy. After 6 weeks of treatment with vitamin C orally, the proptosis and the bony changes returned to normal. Although scurvy is a rare disease in the general pediatric population, it still exists in certain vulnerable populations like neurologically disabled ones, and this uncommon cause for proptosis should be considered in such children.
坏血病是人类已知的最古老疾病之一，由维生素C缺乏引起。如今，它主要存在于某些弱势群体中，如神经发育障碍患者。眼眶出血导致的眼球突出是坏血病的一种罕见并发症。在此，我们描述一例双瘫型脑瘫患者，其突然出现双侧眼球突出以及膝关节肿胀和压痛。随后的眼眶计算机断层扫描显示双侧眶锥外上象限有血肿。膝关节X线检查显示与坏血病相符的骨质改变。口服维生素C治疗6周后，眼球突出和骨质改变恢复正常。尽管坏血病在普通儿科人群中是一种罕见疾病，但在某些弱势群体如神经功能残疾者中仍然存在，对于这类儿童应考虑这种不常见的眼球突出病因。
