Hospital Municipal Dr. Moysés Deutsch; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2023 Sep 8;21:eRC0356. doi: 10.31744/einstein_journal/2023RC0356. eCollection 2023.
Despite its rarity, symptomatic micronutrient deficiency remains a public health problem. Scurvy is the differential diagnosis for bleeding disorders and hematological and rheumatological diseases, especially in patients with eating disorders. However, it is unrelated to autism spectrum disorders or other neurodevelopmental disorders. A previously healthy 10-year-old boy living in São Paulo, Brazil, had a history of significant food selectivity unrelated to autism spectrum disorder, resulting in symptomatic ascorbic acid deficiency (scurvy). This resulted in pain and purpuric lesions on the lower limbs, gingival edema, bleeding during tooth brushing, asthenia, weakness, malaise, and sadness. Therefore, dietary anamnesis is important for routine monitoring of child growth and development. This process helps prevent nutritional deficiencies, facilitates early diagnosis of eating disorders, and enables multidisciplinary follow-up for these patients.
尽管其罕见，但有症状的微量营养素缺乏仍然是一个公共卫生问题。坏血病是出血性疾病和血液学及风湿病的鉴别诊断，尤其是在有饮食障碍的患者中。然而，它与自闭症谱系障碍或其他神经发育障碍无关。一名来自巴西圣保罗的 10 岁健康男孩，有选择性进食的历史，与自闭症谱系障碍无关，导致有症状的抗坏血酸缺乏（坏血病）。这导致下肢疼痛和紫癜性病变、牙龈肿胀、刷牙时出血、乏力、虚弱、不适和悲伤。因此，饮食病史对于儿童生长发育的常规监测很重要。这一过程有助于预防营养缺乏，促进饮食障碍的早期诊断，并为这些患者提供多学科随访。
