Venkataraman Vinayak, Olson Kristian R
Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.
Proc (Bayl Univ Med Cent). 2020 Jul 23;33(4):627-629. doi: 10.1080/08998280.2020.1793051.
A 69-year-old man with irritable bowel syndrome on a restricted diet presented with fatigue, myalgias, extensive bilateral lower-extremity petechiae and ecchymoses, transfusion-refractory anemia, and elevated inflammatory markers. A low serum vitamin C level led to the diagnosis of scurvy. This is the first reported case of vitamin C deficiency and clinical scurvy related to voluntary dietary restriction from irritable bowel syndrome in an adult patient.
一名69岁患有肠易激综合征且饮食受限的男性，出现疲劳、肌痛、双下肢广泛瘀点和瘀斑、输血难治性贫血以及炎症指标升高。血清维生素C水平低导致坏血病的诊断。这是首例报道的成年患者因肠易激综合征自愿限制饮食导致维生素C缺乏和临床坏血病的病例。
