Tunis Med. 2021;99(11):1093-1096.
Scurvy is one of the oldest diseases known to mankind. Although rare lately, the clinical suspicion arises in front of a precarious situation or deficient nutrition and food restriction secondary to a psychiatric condition, even in patients with non-specific complaints. We report the observation of a 6 -year- old boy, followed for autism since the age of 3 years and who was admitted for limping, hemorrhagic syndrome, arthritis and weakness. The diagnosis of child abuse was initially suspected but clinical and radiological abnormalities seen were characteristic of scurvy. Vitamin C level was undetectable. The child had an unbalanced diet.A favorable outcome was rapidly obtained following supplementation. Scurvy is rare, but it should be mentioned among children with psychiatric disorders, presenting with musculoskeletal manifestations or hemorrhagic syndrome. It is essential to prevent it by systematic dietary supplementation of vitamin C in children with eating difficulties.
坏血病是人类已知的最古老的疾病之一。尽管最近很少见，但在面临不稳定的情况或因精神疾病而导致的营养和食物限制时，临床医生会怀疑坏血病，即使是在有非特异性投诉的患者中也是如此。我们报告了一名 6 岁男孩的观察结果，他从 3 岁起就因自闭症接受治疗，因跛行、出血综合征、关节炎和虚弱而入院。最初怀疑是儿童虐待，但临床和影像学异常具有坏血病的特征。维生素 C 水平无法检测到。孩子的饮食不均衡。补充治疗后迅速取得了良好的效果。坏血病很少见，但对于有精神障碍、表现出肌肉骨骼表现或出血综合征的儿童，应提及坏血病。通过对有饮食困难的儿童进行系统的维生素 C 饮食补充来预防坏血病是很重要的。
