Ellis C N, Vanderveen E E, Rasmussen J E
Arch Dermatol. 1984 Sep;120(9):1212-4. doi: 10.1001/archderm.120.9.1212.
A 9-year-old girl had the insidious development of lethargy, gingival erosions, and follicular hyperkeratosis with perifollicular hemorrhage. A dietary history disclosed that she consumed only one kind of sandwich and beverage and took no other foods. A skin biopsy specimen was consistent with the diagnosis of scurvy, and marked improvement occurred with ascorbic acid therapy. Although it is an uncommon disorder in the United States, scurvy may occur in persons with prolonged and peculiar dietary habits.
一名9岁女孩出现隐匿性嗜睡、牙龈糜烂以及伴有毛囊周围出血的毛囊角化过度。饮食史显示她只吃一种三明治和饮料，不吃其他食物。皮肤活检标本符合坏血病的诊断，用抗坏血酸治疗后有明显改善。尽管坏血病在美国是一种罕见疾病，但在有长期特殊饮食习惯的人群中可能会发生。
