Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients
Scurvy, though previously reported from developing countries, is now being increasingly reported from developed countries. Although rare in pediatric population, it is well known to cause lower-extremity pain and refusal to walk in children. Here, we summarize two cases of scurvy in young children w...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-01-01
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| Series: | Indian Journal of Rheumatology |
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| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=4;spage=273;epage=276;aulast=Harikrishnan |
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| _version_ | 1849307563165745152 |
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| author | B Harikrishnan Suma Balan |
| author_facet | B Harikrishnan Suma Balan |
| author_sort | B Harikrishnan |
| collection | DOAJ |
| description | Scurvy, though previously reported from developing countries, is now being increasingly reported from developed countries. Although rare in pediatric population, it is well known to cause lower-extremity pain and refusal to walk in children. Here, we summarize two cases of scurvy in young children who presented with difficulty to walk. Both of them came with a provisional diagnosis of oligoarticular juvenile idiopathic arthritis. The first case underwent extensive evaluation before the diagnosis of scurvy was made. Dietary histories eventually revealed that both had limited intake of fruits and vegetables, as first patient existed on a diet of milk products and a nutritional supplement provided by the state government. The second patient had autism. Radiographic changes of long bones were observed in both patients. Both of them had a Vitamin C level of <0.1 mg/dl. After replacement with Vitamin C, both patients recovered and started to walk again. This case series highlights the importance for rheumatologists to have a higher index of suspicion for scurvy in children presenting with pain and difficulty to bear weight. |
| format | Article |
| id | doaj-art-1bc2c45274f847e09fe7c35ec11390ea |
| institution | Kabale University |
| issn | 0973-3698 0973-3701 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj-art-1bc2c45274f847e09fe7c35ec11390ea2025-08-20T03:54:43ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012018-01-0113427327610.4103/injr.injr_65_18Scurvy mimicking juvenile idiopathic arthritis in two pediatric patientsB HarikrishnanSuma BalanScurvy, though previously reported from developing countries, is now being increasingly reported from developed countries. Although rare in pediatric population, it is well known to cause lower-extremity pain and refusal to walk in children. Here, we summarize two cases of scurvy in young children who presented with difficulty to walk. Both of them came with a provisional diagnosis of oligoarticular juvenile idiopathic arthritis. The first case underwent extensive evaluation before the diagnosis of scurvy was made. Dietary histories eventually revealed that both had limited intake of fruits and vegetables, as first patient existed on a diet of milk products and a nutritional supplement provided by the state government. The second patient had autism. Radiographic changes of long bones were observed in both patients. Both of them had a Vitamin C level of <0.1 mg/dl. After replacement with Vitamin C, both patients recovered and started to walk again. This case series highlights the importance for rheumatologists to have a higher index of suspicion for scurvy in children presenting with pain and difficulty to bear weight.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=4;spage=273;epage=276;aulast=HarikrishnanAutismNutritionalOligoarticular juvenile idiopathic arthritisRadiographicScurvy |
| spellingShingle | B Harikrishnan Suma Balan Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients Indian Journal of Rheumatology Autism Nutritional Oligoarticular juvenile idiopathic arthritis Radiographic Scurvy |
| title | Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| title_full | Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| title_fullStr | Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| title_full_unstemmed | Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| title_short | Scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| title_sort | scurvy mimicking juvenile idiopathic arthritis in two pediatric patients |
| topic | Autism Nutritional Oligoarticular juvenile idiopathic arthritis Radiographic Scurvy |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=4;spage=273;epage=276;aulast=Harikrishnan |
| work_keys_str_mv | AT bharikrishnan scurvymimickingjuvenileidiopathicarthritisintwopediatricpatients AT sumabalan scurvymimickingjuvenileidiopathicarthritisintwopediatricpatients |