Department of Hematology, Okayama City Hospital, Japan.
Intern Med. 2022 Jun 1;61(11):1795-1798. doi: 10.2169/internalmedicine.8122-21. Epub 2021 Nov 13.
Scurvy is a rare disease caused by a vitamin C deficiency. Vitamin C is a water-soluble vitamin found in vegetables and fruits, but it is lost after boiling. A 59-year-old man presented with gingival pain after having a tooth extracted five years previously. Following the procedure, his diet comprised boiled vegetables to prevent pain. He then experienced bilateral lower leg pain, and computed tomography revealed intramuscular bleeding. His serum vitamin C level was below the detectable limit. His symptoms immediately improved with vitamin C administration. This case emphasized that consuming only boiled vegetables can lead to the onset of scurvy.
坏血病是一种由维生素 C 缺乏引起的罕见疾病。维生素 C 是一种水溶性维生素,存在于蔬菜和水果中,但在煮沸后会流失。一名 59 岁男性在五年前拔牙后出现牙龈疼痛。手术后,他的饮食包括煮熟的蔬菜以预防疼痛。随后,他出现双侧小腿疼痛,计算机断层扫描显示肌肉内出血。他的血清维生素 C 水平低于检测下限。他的症状在给予维生素 C 后立即改善。本例强调了仅食用煮熟的蔬菜可能会导致坏血病的发生。