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儿童坏血病:一种近乎绝迹但带来新诊断挑战的疾病,病例报告

Childhood Scurvy: A Nearly Extinct Disease Posing a New Diagnostic Challenge, a Case Report.

作者信息

Gupta Neeraj, Toteja Nisha, Sasidharan Rohit, Singh Kuldeep

机构信息

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan 342001, India.

出版信息

J Trop Pediatr. 2020 Apr 1;66(2):231-233. doi: 10.1093/tropej/fmz059.

Abstract

Scurvy is seldom encountered in modern day clinical practice. Children can present with nonspecific features which can mimic several other common conditions. We describe here a four-year-old child who presented with severe pain and weakness of bilateral lower limbs and found to be severely malnourished. The diagnosis of scurvy was suspected in the context of underlying malnutrition after excluding other ominous pathologies. Pathognomic radiological changes clinched the diagnosis, and the best supportive evidence was the dramatic response to vitamin C supplementation.

摘要

在现代临床实践中,坏血病很少见。儿童可能表现出非特异性症状,这些症状可能与其他几种常见疾病相似。我们在此描述一名4岁儿童,他出现双侧下肢严重疼痛和无力,且被发现严重营养不良。在排除其他严重病变后,鉴于潜在的营养不良,怀疑为坏血病。典型的放射学改变确诊了该病,而最佳的支持证据是对补充维生素C的显著反应。

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