Ahmad Syed Amir, Al Thobiti Tariq A, El Toum Manal, Al Harbi Fahad
From the Department of Emergency Medicine (Pediatric Unit), College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Pediatr Emerg Care. 2021 Aug 1;37(8):e483-e484. doi: 10.1097/PEC.0000000000001695.
Ketogenic diets used for treating various neurological disorders can have potentially serious adverse effects. Among these is scurvy, a rarely reported, yet potentially fatal adverse effect of the ketogenic diet caused by vitamin C deficiency. We report a case of a 5-year-old patient with autism, who presented with scurvy secondary to the dietary restrictions of a ketogenic diet. Our review of the literature showed a single previously reported case of vitamin C deficiency in a patient on ketogenic diet. We have also reviewed the clinical indications and adverse effects of ketogenic diets with special reference to scurvy. This case emphasizes the importance of vitamin supplements in patients consuming a special diet.
用于治疗各种神经疾病的生酮饮食可能会产生潜在的严重不良反应。其中包括坏血病，这是一种由维生素C缺乏引起的生酮饮食罕见但可能致命的不良反应。我们报告了一例5岁自闭症患者，该患者因生酮饮食的饮食限制而出现坏血病。我们对文献的回顾显示，之前仅有一例关于生酮饮食患者维生素C缺乏的报道。我们还特别参考坏血病，回顾了生酮饮食的临床适应症和不良反应。该病例强调了特殊饮食患者补充维生素的重要性。
