Severe scurvy in an adult male without clear risk factors for nutritional deficiency

Vitamin C Deficiency as a Mimicker of a Coagulation Disorder

“…This case series details the broad range of clinical symptoms that scurvy may present with, especially in those with excessive alcohol intake. Likewise, there have been various case reports of modern-day scurvy presenting in those with restrictive diets 6–8. While scurvy due to a limited diet is more common in paediatric patients or patients with developmental disorders,7 it can present in adults too, as detailed in this case report of a patient with low utilisation of healthcare services, which was also seen in our patient 8…”

Nutritional deficiencies of the opioid epidemic: a story of scurvy masquerading as systemic lupus erythematosus

“…Scurvy is a nutritional disease manifesting with sequelae of collagen defects caused by a deficiency of vitamin C. Because vitamin C cannot be synthesised endogenously, dietary consumption is crucial [1]. There are no reliable determinants of functional vitamin C status.…”

Response to “Severe scurvy in an adult male without clear risk factors for nutritional deficiency”

“…During the consultation, I became interested in scurvy and, similar to Day et al, 1 was shocked to discover that the rates of vitamin C deficiency are startling higher in the general population than we expect and that scurvy can develop quickly within 3-6 months. During my reading, it became apparent that smokers are uniquely susceptible to vitamin C deficiency for a few reasons.…”

“…To the Editor: I read with great interest the article by Day et al 1 after having a similar experience during my residency. We had a patient with unexplained chronic pain, weakness, autonomic instability, anemia, and a purpuric rash that resulted in repeated admissions.…”