Pavlidou Evdokia, Georgoulis Athanasios, Zarenti Sofia, Doufexi Aikaterini Elisavet
School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Medical School, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Cureus. 2025 Apr 22;17(4):e82766. doi: 10.7759/cureus.82766. eCollection 2025 Apr.
Scurvy is the oldest-known nutritional disorder caused by a sustained lack of ascorbic acid (vitamin C). Despite its rarity in developed countries, scurvy has been increasingly reported in recent years in pediatric patients, particularly those with selective or restricted feeding. It mainly affects the musculoskeletal system, the skin, and the oral cavity, causing gingival bleeding. Diagnosing scurvy can be difficult for clinicians because of its nonspecific symptoms, often leading to extensive testing and delayed identification of the condition. The treatment is based on changing eating habits and taking supplements with vitamin C. This study aims to present a case report of a 12-year-old child with oral manifestations of scurvy, discussing the differential diagnosis, clinical findings, and therapeutic approach, while also reviewing current literature on the topic.
坏血病是已知最古老的由长期缺乏抗坏血酸(维生素C)引起的营养失调症。尽管在发达国家坏血病较为罕见,但近年来在儿科患者中报告的病例越来越多,尤其是那些有选择性或受限饮食的患者。它主要影响肌肉骨骼系统、皮肤和口腔,导致牙龈出血。由于坏血病的症状不具特异性,临床医生诊断起来可能会很困难,这往往导致进行广泛的检查并延迟对病情的识别。治疗方法是改变饮食习惯并补充维生素C。本研究旨在呈现一例12岁患有坏血病口腔表现的儿童病例报告,讨论鉴别诊断、临床发现和治疗方法,同时也回顾关于该主题的当前文献。