Jones Riley, Shafiq Leila, Idowu Benmichael, Radhakrishnan Nila S, Fromm Jason
Medicine, University of Florida College of Medicine, Gainesville, USA.
Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus. 2023 Apr 25;15(4):e38091. doi: 10.7759/cureus.38091. eCollection 2023 Apr.
Scurvy is a multisystem disease caused by vitamin C deficiency, historically associated with lethargy, gingivitis, ecchymosis, edema, and death if left untreated. Contemporary socioeconomic risk factors for scurvy include smoking, alcohol abuse, fad diets, mental health conditions, social isolation, and economic marginalization. Food insecurity is also a risk factor. This report describes a case of a man in his 70s who presented with unexplained dyspnea, abdominal pain, and abdominal ecchymosis. His plasma vitamin C level was undetectable, and he improved with vitamin C supplementation. This case highlights the significance of awareness of these risk factors and emphasizes the need for a comprehensive social and dietary history to enable the timely treatment of this rare but potentially fatal disease.
坏血病是一种由维生素C缺乏引起的多系统疾病，在历史上，如果不治疗，会出现嗜睡、牙龈炎、瘀斑、水肿甚至死亡。当代坏血病的社会经济风险因素包括吸烟、酗酒、时尚饮食、心理健康问题、社会孤立和经济边缘化。粮食不安全也是一个风险因素。本报告描述了一名70多岁男性的病例，他出现了不明原因的呼吸困难、腹痛和腹部瘀斑。他的血浆维生素C水平检测不到，补充维生素C后病情有所改善。该病例突出了认识这些风险因素的重要性，并强调需要全面了解社会和饮食史，以便及时治疗这种罕见但可能致命的疾病。
