Connelly T J, Becker A, McDonald J W
Int J Dermatol. 1982 May;21(4):209-11. doi: 10.1111/j.1365-4362.1982.tb02075.x.
Scurvy occurred in an elderly man with fatigue, dyspnea on exertion, and extensive ecchymoses and brawny edema of the legs. Platelet count, prothrombin time, and partial thromboplastin time were normal, but serum ascorbic acid level was very low. Other signs considered to be classic and almost pathognomonic for were absent: bleeding gums, hyperkeratotic follicles, coiled hairs, and perifollicular hemorrhages. Reliance on these well-known features of scurvy may obscure or delay diagnosis of an easily cured disorder Severe scurvy is most commonly suggested by tenderness, extensive ecchymoses, and brawny edema of the lower extremities.
一名老年男性出现坏血病,伴有疲劳、劳力性呼吸困难,以及腿部广泛的瘀斑和硬结性水肿。血小板计数、凝血酶原时间和部分凝血活酶时间均正常,但血清抗坏血酸水平极低。坏血病的其他典型且几乎具有诊断意义的体征并不存在:牙龈出血、角化过度的毛囊、卷曲毛发和毛囊周围出血。依赖坏血病这些众所周知的特征可能会掩盖或延迟对这种易于治愈疾病的诊断。严重坏血病最常见的表现为下肢压痛、广泛瘀斑和硬结性水肿。