Ma Nina S, Thompson Cynthia, Weston Sharon
Division of Endocrinology, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA.
Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, USA.
J Autism Dev Disord. 2016 Apr;46(4):1464-70. doi: 10.1007/s10803-015-2660-x.
Scurvy was diagnosed in seven children at Boston Children's Hospital. All of the children had a developmental disorder and autism was the most common. They had a long-standing history of food selectivity with diets devoid of fruits and vegetables, and none of the children were supplemented with a multivitamin. They presented with limp, and an elaborate panel of tests and procedures were undertaken before the diagnosis of scurvy was made. Treatment with vitamin C led to rapid recovery of symptoms. This report emphasizes the importance of considering nutritional causes of musculoskeletal symptoms in children with autism and restrictive diets.
波士顿儿童医院诊断出七名儿童患有坏血病。所有儿童都有发育障碍,其中自闭症最为常见。他们长期存在食物选择性问题,饮食中缺乏水果和蔬菜,且没有一个孩子补充过多种维生素。他们出现了跛行症状,在坏血病诊断之前进行了一系列详细的检查和程序。维生素C治疗使症状迅速缓解。本报告强调了在患有自闭症和饮食受限的儿童中考虑肌肉骨骼症状营养原因的重要性。