Chalouhi Christel, Nicolas Nayla, Vegas Nancy, Matczak Soraya, El Jurdi Houmam, Boddaert Nathalie, Abadie Véronique
General Pediatrics Department, Necker Hospital, Paris, France.
Pediatric Imaging Unit, Necker Hospital, Paris, France.
Front Pediatr. 2020 Jan 31;8:8. doi: 10.3389/fped.2020.00008. eCollection 2020.
We report 3 cases of scurvy in children that occurred during a short period (2018) in a general pediatrics unit of a tertiary hospital for children in Paris. All children were around 3 years of age and were admitted for skeletal pain and altered general state, which mimicked infectious or malignant diseases. Their selective diet was not the prominent issue. The diagnosis of scurvy was delayed, after too many unnecessary examinations and medications. Bone imaging findings (X-ray and MRI) were considered typical, but lesions were not easily identified as scurvy lesions because scurvy is not well-known by pediatricians and radiologists who should be mindful of this historical diagnosis.
我们报告了3例儿童坏血病病例，这些病例于2018年在巴黎一家三级儿童医院的普通儿科病房短时间内出现。所有儿童年龄均在3岁左右，因骨骼疼痛和一般状况改变入院，这些症状类似感染性或恶性疾病。他们的选择性饮食并非突出问题。坏血病的诊断被延迟，经过了太多不必要的检查和用药。骨骼影像学检查结果（X线和磁共振成像）被认为是典型的，但病变不容易被识别为坏血病病变，因为儿科医生和放射科医生对坏血病并不熟悉，而他们应该留意这一具有历史意义的诊断。
