Intervention
Medicolegal Pitfalls
- The failure to diagnose copper deficiency, leukemia, and concomitant rickets or folate deficiency is a pitfall.
- Congenital syphilis and neuroblastoma produce findings similar to those of scurvy. The same findings may also be seen in a limb with residual palsy as a result of polio.
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References
Bohrer I, Roy M, Nager W, te Wildt B, Emrich HM, Ohlmeier MD. [Scurvy--a wrongly forgotten avitaminosis]. MMW Fortschr Med. Nov 8 2007;149(45):41-3. [Medline].
Léger D. Scurvy: reemergence of nutritional deficiencies. Can Fam Physician. Oct 2008;54(10):1403-6. [Medline].
Sommer A. Vitamin a deficiency and clinical disease: an historical overview. J Nutr. Oct 2008;138(10):1835-9. [Medline].
Hampl JS, Taylor CA, Johnston CS. Vitamin C deficiency and depletion in the United States: the Third National Health and Nutrition Examination Survey, 1988 to 1994. Am J Public Health. May 2004;94(5):870-5. [Medline].
Velandia B, Centor RM, McConnell V, Shah M. Scurvy is still present in developed countries. J Gen Intern Med. Aug 2008;23(8):1281-4. [Medline].
Burk CJ, Molodow R. Infantile scurvy: an old diagnosis revisited with a modern dietary twist. Am J Clin Dermatol. 2007;8(2):103-6. [Medline].
Olmedo JM, Yiannias JA, Windgassen EB, Gornet MK. Scurvy: a disease almost forgotten. Int J Dermatol. Aug 2006;45(8):909-13. [Medline].
Handelman GJ. Vitamin C neglect in hemodialysis: Sailing between Scylla and Charybdis. Blood Purification. 2007;25(1):58-61. [Medline].
Karthiga S, Dubey S, Garber S, Watts R. Scurvy: MRI appearances. Rheumatology (Oxford). Jul 2008;47(7):1109. [Medline].
Francescone MA, Levitt J. Scurvy masquerading as leukocytoclastic vasculitis: a case report and review of the literature. Cutis. Oct 2005;76(4):261-6. [Medline].
Rothschild BM, Martin LD. Paleopathology: Disease in the Fossil Record. London: CRC Press; 1993.
Willmott NS, Bryan RA. Case report: scurvy in an epileptic child on a ketogenic diet with oral complications. Eur Arch Paediatr Dent. Sep 2008;9(3):148-52. [Medline].
Further Reading
Keywords
scurvy, vitamin C deficiency, ascorbutism, scorbutism, Barlow disease, Barlow's disease, subperiosteal hematoma syndrome, hypovitaminosis C, collagen defects, hemorrhagic diathesis, abnormalities in bone maturation, epiphyseal disease, lifting of the periosteum, hemarthroses
Follow-up: Scurvy