Tran James, Yuan Yih Ying Eva
Morehouse School of Medicine, Atlanta, GA.
Emergency Medicine Specialists of Orange County (EMSOC), Children's Hospital of Orange County, Division of Pediatric Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2021 Oct 15;6(4):V6-V8. doi: 10.21980/J89H1X. eCollection 2021 Oct.
While rare, scurvy is a disease the emergency physician should continue to consider in the differential of bruising and joint pain. Although these symptoms are nonspecific, the astute physician should remain open-minded even when scurvy is not likely to be seen in an economically stable country. Contrary to this, we report a case of a young boy in the United States with scurvy who presented with a rash and limp. The diagnosis of scurvy can be made alone by a thorough history, but radiologic studies and pertinent labs also helped. Early diagnosis resulted in adequate vitamin supplementation and quick recovery of symptoms thereby avoiding unnecessary testing and lowering the cost of care.
Scurvy, pediatric, vitamin C deficiency, nutritional deficiencies.
坏血病虽罕见，但急诊医生在鉴别瘀伤和关节疼痛时仍应考虑此病。尽管这些症状不具特异性，但即便在经济稳定的国家坏血病不太可能出现，敏锐的医生也应保持开放的思维。与此相反，我们报告了一例美国的患坏血病小男孩，他出现了皮疹和跛行症状。坏血病仅凭详尽的病史即可确诊，但放射学检查和相关实验室检查也有帮助。早期诊断使得维生素得到充分补充，症状迅速缓解，从而避免了不必要的检查并降低了医疗费用。
坏血病、儿科、维生素C缺乏、营养缺乏
