Gil Llano J R, Grespo Rincón L, Ruiz Llano F C, Costo Campoamor A, Mateos Polo L, González M A
Servicios de Medicina Interna, Hospital San Pedro de Alcántara, Cáceres.
An Med Interna. 1995 Sep;12(9):450-2.
We report a 66 years-old man case that was admitted with abdominal wall hemorrhagic swelling ecchymosis on inferior extremities and perifollicular purpura with hyperkeratosis of the follicles, which gives it an appearance of palpable purpura, together with gingival hemorrhage and moderate anemia. He was a well-nourished sick man but who made a peculiar diet, practically free from fruit and vegetables which developed a pure and serious form of scurvy. We report this case because we consider that the features which appear are illustrative to provide the immediate clinical diagnosis of this uncommon disease, potentially mortal, but easy to diagnose, if we think about it in the adequate clinical contexts, and which it is quickly curable with the administration of ascorbic acid.
我们报告一例66岁男性病例，该患者因腹壁出血性肿胀、下肢瘀斑以及伴有毛囊角化过度的毛囊周围紫癜（使其呈现可触及紫癜外观）入院，同时伴有牙龈出血和中度贫血。他是一名营养状况良好的患者，但饮食特殊，几乎不吃水果和蔬菜，从而患上了一种单纯且严重的坏血病。我们报告此病例是因为我们认为所出现的特征有助于在适当的临床背景下对这种罕见疾病进行即时临床诊断，该疾病虽有潜在致命风险，但易于诊断，并且通过给予抗坏血酸可迅速治愈。
