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一名患有严重神经性厌食症青少年的维生素C缺乏症

Vitamin C Deficiency in an Adolescent With Severe Anorexia Nervosa.

作者信息

Cram Brielle, Pohoreski Katherine, Novak Chris, Vyver Ellie

机构信息

Department of Pediatrics, University of Calgary, Calgary, CAN.

出版信息

Cureus. 2024 Dec 31;16(12):e76674. doi: 10.7759/cureus.76674. eCollection 2024 Dec.

DOI:10.7759/cureus.76674
PMID:39898142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11781908/
Abstract

This article reports on the case of a 14-year-old non-binary patient with anorexia nervosa - restrictive subtype (AN-R), presenting with severe malnutrition and the cutaneous manifestations of scurvy. Scurvy is an uncommon nutritional deficiency caused by a lack of dietary vitamin C. In this case, we highlight the clinical features of vitamin C deficiency, a rare but treatable nutritional deficiency that should not be overlooked in patients presenting with malnutrition, including those with eating disorders. This case reviews the pathophysiology, common clinical manifestations, and prevention of vitamin C deficiency and highlights pediatric populations at risk for the development of this condition.

摘要

本文报道了一名14岁的非二元性厌食症患者——限制型(AN-R),伴有严重营养不良和坏血病的皮肤表现。坏血病是一种由饮食中缺乏维生素C引起的罕见营养缺乏症。在本病例中,我们强调了维生素C缺乏症的临床特征,这是一种罕见但可治疗的营养缺乏症,在出现营养不良的患者中不应被忽视,包括那些患有饮食失调症的患者。本病例回顾了维生素C缺乏症的病理生理学、常见临床表现和预防方法,并强调了易患此病的儿科人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a398/11781908/772a923dc9db/cureus-0016-00000076674-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a398/11781908/772a923dc9db/cureus-0016-00000076674-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a398/11781908/772a923dc9db/cureus-0016-00000076674-i01.jpg

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本文引用的文献

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Scurvy and vitamin C deficiency in an Australian tertiary children's hospital.澳大利亚一家三级儿童医院中的坏血病与维生素C缺乏症
J Paediatr Child Health. 2024 Sep;60(9):409-414. doi: 10.1111/jpc.16594. Epub 2024 Jun 21.
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A systematic review comparing atypical anorexia nervosa and anorexia nervosa.一项比较非典型神经性厌食症和神经性厌食症的系统评价。
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Int J Eat Disord. 2023 Jan;56(1):5-25. doi: 10.1002/eat.23704. Epub 2022 Apr 5.
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A Narrative Review on Pediatric Scurvy: The Last Twenty Years.儿童坏血病:近 20 年的研究进展述评
Nutrients. 2022 Feb 6;14(3):684. doi: 10.3390/nu14030684.
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The impact of the COVID-19 pandemic on eating disorder risk and symptoms.COVID-19 大流行对饮食失调风险和症状的影响。
Int J Eat Disord. 2020 Jul;53(7):1166-1170. doi: 10.1002/eat.23318. Epub 2020 Jun 1.
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Scurvy: An Unexpected Nutritional Complication in an Adolescent Female With Anorexia Nervosa.坏血病:神经性厌食症青少年女性的一种意外营养并发症。
J Adolesc Health. 2020 Oct;67(4):618-620. doi: 10.1016/j.jadohealth.2020.02.022. Epub 2020 Apr 11.
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Micronutrient deficiencies and supplementation in anorexia and bulimia nervosa: a review of literature.神经性厌食症和贪食症中的微量营养素缺乏与补充:文献综述。
Nutr Clin Pract. 2010 Apr;25(2):137-42. doi: 10.1177/0884533610361478.
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Prevalence of cutaneous manifestations in 200 patients with eating disorders.200例饮食失调患者皮肤表现的患病率。
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