Scurvy Presenting With Cutaneous and Articular Signs and Decrease in Red and White Blood Cells

Scurvy Presenting as Painful Gait With Bruising in a Young Boy

“…8,12,[19][20][21][22] Maintenance is achieved with doses of 30 to 60 mg daily. Oral and constitutional symptoms will usually resolve in 2 to 3 days, 23 with ecchymoses, bone abnormalities, and anemia usually resolving within 2 weeks. 12,19,21 Because foods are increasingly supplemented with ascorbic acid, concern for scurvy has diminished in the developed world.…”

Anemia related to ascorbic acid deficiency

“…We found that his serum ascorbic acid level was 0.2 mg per dl (normal, 0.2-2.0 mg per dl), leading to a diagnosis of scurvy [2].…”

Skin, muscle and joint disease from the 17th century: scurvy

“…In those whose anemia is due solely to vitamin C deficiency, the reticulocyte count increases substantially within 10 days, and the hematocrit returns to normal within a few weeks. 35,36 SUMMARY Scurvy still exists in this day and age, even in developed countries. It is under-recognized because many patients do not appear malnourished as they have adequate carbohydrate and protein intake.…”

“…Investigations revealed a microcytic hypochromic anemia with hemoglobin of 78 g/L (normal 130-170), normal platelet count of 442 · 10 9 /L, and raised C-reactive protein (CRP) of 14 mg/L (normal < 5). Prothrombin time was 14.9 sec (normal 10.5-13.5), with activated partial thromboplastin time (aPTT) 34 sec (normal [25][26][27][28][29][30][31][32][33][34][35][36][37]. Joint aspiration revealed grossly blood-stained fluid with no crystals.…”