Scurvy in hospitalized elderly patients

Raynaud-Simon, A.; Cohen-Bittan, Judith; Gouronnec, Adéline; Pautas, Éric; Senet, Patricia; Verny, Marc; Boddaert, Jacques

doi:10.1007/s12603-010-0032-y

Cited by 49 publications

(29 citation statements)

References 25 publications

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“…Unfortunately, multiple recent publications have demonstrated scurvy and vitamin C deficiency in developed countries. [33][34][35] Nancy Strange presented a case study at SAWC, 2012, where data from the Indiana University School of Medicine, IU Health, Indianapolis, found that 14 of 15 individuals with delayed wound healing had ascorbic acid levels below normal ranges. 36 One case was present in the state of Florida, known for its large production of citrus fruit.…”

Section: Occurrence Of Micronutrient Deficiency In the Elderlymentioning

confidence: 99%

Nutrition and Chronic Wounds

Molnár

Underdown

Clark

2014

Advances in Wound Care

114

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Nutrition is one of the most basic of medical issues and is often ignored as a problem in the management of our chronic wound patients. Unfortunately, malnutrition is widespread in our geriatric patients even in nursing homes in developed countries. Attention to basic nutrition and providing appropriate supplements may assist in the healing of our chronic wounds. Recent research has revealed the epidemiology of malnutrition in developed countries, the similarities to malnutrition in developing countries, and some of the physiologic and sociologic causes for this problem. More information is now available on the biochemical effects of nutrient deficiency and supplementation with macronutrients and micronutrients. In some cases, administration of isolated nutrients beyond recommended amounts for healthy individuals may have a pharmacologic effect to help wounds heal. Much of the knowledge of the nutritional support of chronic wounds is based on information that has been obtained from trauma management. Due to the demographic differences of the patients and differences in the physiology of acute and chronic wounds, it is not logical to assume that all aspects of nutritional support are identical in these patient groups. Before providing specific nutritional supplements, appropriate assessments of patient general nutritional status and the reasons for malnutrition must be obtained or specific nutrient supplementation will not be utilized. Future research must concentrate on the biochemical and physiologic differences of the acute and chronic wounds and the interaction with specific supplements, such as antioxidants, vitamin A, and vitamin D.

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Section: Occurrence Of Micronutrient Deficiency In the Elderlymentioning

confidence: 99%

Nutrition and Chronic Wounds

Molnár

Underdown

Clark

2014

Advances in Wound Care

114

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“…Во всех этих случаях у больных имелись фак-торы риска дефицита витамина С, такие, как пожи-лой возраст, алкоголизм, психические заболевания, низкий уровень доходов, способствующие, особен-но в случае одинокого проживания, неполноценно-му питанию; хронические заболевания кишечника и состояния с повышенной потребностью в витами-не С; диета с исключением фруктов из-за пищевой аллергии. Ретроспективный анализ 12 случаев цин-ги, диагностированных в клинике Mayo с 1976 по 2002 годы в США [8] и проспективное исследование 18 пожилых госпитализированных больных цингой во Франции [22], свидетельствуют, что при диффе-ренциальной диагностике пурпуры или спонтанных кожных кровоизлияний у пациентов из этих групп риска следует помнить о цинге и внимательно из-учать пищевой анамнез.…”

Section: Discussionunclassified

Scurvy — A Forgotten Disease Under the Guise of Hemorrhagic Vasculitis

Чипигина¹,

Карпова²,

Bolshakova³

et al. 2017

Arhivʺ vnutr. med.

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“…Using vitamin C to treat cancer patients is not just a question of whether a high concentration of vitamin C might kill cancer cells. There is evidence that a substantial proportion of hospital patients have a vitamin C deficiency [24,25]. Therefore, vitamin C may be beneficial for some hospital patients with or without cancer [26,27].…”

Section: Sub-clinical Doses Of Otherwise Effective Therapiesmentioning

confidence: 99%

Impure placebo is a useless concept

2015

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Placebos are allegedly used to a wide extent in general practice. Surveys reporting high level usage have, however, combined two categories, "pure" and "impure" placebos. The wide use of placebos is explained by the high level usage of "impure placebos". In contrast, the prevalence of the use of "pure placebos" has been low. Traditional "pure placebos" are clinically ineffective treatments, whereas "impure placebos" form an ambiguous group of diverse treatments that are not always ineffective. In this paper, we focus on the concept "impure placebo" and demonstrate problems related to it. We also show that the common examples of "impure placebos" are unsound or absurd from the point of view of clinical practice. We conclude that "impure placebo" is a useless concept and should not be used in scientific or medical literature.

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Scurvy in hospitalized elderly patients

Abstract: Ninety-four percent of patients with clinical symptoms of scurvy had vitamin C deficiency. Our results suggest that in hospitalized elderly patients, clinical symptoms allow scurvy diagnosis. Scurvy could be a frequent disease in elderly patients admitted to acute geriatric ward.

Cited by 49 publications

References 25 publications

Nutrition and Chronic Wounds

Nutrition and Chronic Wounds

Scurvy — A Forgotten Disease Under the Guise of Hemorrhagic Vasculitis

Impure placebo is a useless concept

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