Premkumar Varsha, Jadhav Renuka, Malwade Sudhir, Kale Shivani
Pediatrics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, IND.
Cureus. 2024 Feb 20;16(2):e54506. doi: 10.7759/cureus.54506. eCollection 2024 Feb.
Scurvy is a disease caused by a lack of vitamin C. It is a nutritional deficiency that is associated with multiple severe conditions. Although developed countries report these cases rarely now due to advancements in food and nutritional supplements, they are still prevalent in developing countries, albeit rare, because of poor nutritional status. Due to the lower prevalence of scurvy, diagnosis is delayed in the majority of cases and sometimes missed completely, which results in serious complications and unnecessary workups. Here, we present a rare case of a four-year-old female child with severe acute malnutrition (SAM) presenting with scurvy. The initial clinical signs showed SAM. X-ray and MRI of the left femur and knee were done to further evaluate the orthopedic parameters. Clinical presentation and radiographic imaging confirmed all the signs of scurvy. The patient was started on the Formula 75 (F-75) diet to address the severe malnutrition, and steady weight gain was observed.
坏血病是一种由于缺乏维生素C引起的疾病。它是一种与多种严重病症相关的营养缺乏症。尽管由于食品和营养补充剂的进步，发达国家现在很少报告这些病例，但由于营养状况不佳，坏血病在发展中国家仍然普遍存在，尽管很罕见。由于坏血病的患病率较低，大多数病例的诊断会延迟，有时甚至会完全漏诊，这会导致严重的并发症和不必要的检查。在此，我们报告一例罕见病例，一名患有严重急性营养不良（SAM）的4岁女童出现坏血病。最初的临床体征显示为严重急性营养不良。对左股骨和膝关节进行了X线和磁共振成像（MRI）检查，以进一步评估骨科参数。临床表现和影像学检查证实了坏血病的所有体征。患者开始采用75号配方（F - 75）饮食来解决严重营养不良问题，并观察到体重稳步增加。
