Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease
A man whose diet was limited to consumption of chicken, fish, and bread was admitted for weight loss, dyspnea, and cutaneous lesions. Findings of the physical examination included lower-extremity purpura. Initial work-up demonstrated severe ferropenic anemia, hyperbilirubinemia, vertebral fracture,...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-01-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0746 |
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| author | Daniel Alberto Carrillo-Vázquez Alejandro Gutierrez-Castillo Carlos Antonio Davizon-López Alejandro Barrera-Godínez María Graciela Leal-Gutiérrez Marcela Saeb-Lima |
| author_facet | Daniel Alberto Carrillo-Vázquez Alejandro Gutierrez-Castillo Carlos Antonio Davizon-López Alejandro Barrera-Godínez María Graciela Leal-Gutiérrez Marcela Saeb-Lima |
| author_sort | Daniel Alberto Carrillo-Vázquez |
| collection | DOAJ |
| description | A man whose diet was limited to consumption of chicken, fish, and bread was admitted for weight loss, dyspnea, and cutaneous lesions. Findings of the physical examination included lower-extremity purpura. Initial work-up demonstrated severe ferropenic anemia, hyperbilirubinemia, vertebral fracture, and dilation of the inferior vena cava and right cardiac chambers. Vitamin C deficiency was documented and, after adequate supplementation, the anemia, hyperbilirubinemia, and bleeding resolved. This case demonstrates the wide, unspecific, and reversible systemic manifestations associated with scurvy, its potential as a great mimicker, and the relevance of nutritional deficiencies even in an apparently nutrient-rich environment. |
| format | Article |
| id | doaj-art-2524bbf2360e4c80b8fa74fe5a2afb8d |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-2524bbf2360e4c80b8fa74fe5a2afb8d2025-08-20T02:26:51ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-01-012110.7326/aimcc.2022.0746Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous DiseaseDaniel Alberto Carrillo-Vázquez0Alejandro Gutierrez-Castillo1Carlos Antonio Davizon-López2Alejandro Barrera-Godínez3María Graciela Leal-Gutiérrez4Marcela Saeb-Lima51Internal Medicine Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, Mexico1Internal Medicine Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, Mexico1Internal Medicine Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, Mexico2Dermatology Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, Mexico3Hemato-Oncology Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, Mexico4Pathology Department, Instituto Nacional de Ciencias Médicas y, Nutrición Salvador Zubirán, Mexico City, MexicoA man whose diet was limited to consumption of chicken, fish, and bread was admitted for weight loss, dyspnea, and cutaneous lesions. Findings of the physical examination included lower-extremity purpura. Initial work-up demonstrated severe ferropenic anemia, hyperbilirubinemia, vertebral fracture, and dilation of the inferior vena cava and right cardiac chambers. Vitamin C deficiency was documented and, after adequate supplementation, the anemia, hyperbilirubinemia, and bleeding resolved. This case demonstrates the wide, unspecific, and reversible systemic manifestations associated with scurvy, its potential as a great mimicker, and the relevance of nutritional deficiencies even in an apparently nutrient-rich environment.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0746 |
| spellingShingle | Daniel Alberto Carrillo-Vázquez Alejandro Gutierrez-Castillo Carlos Antonio Davizon-López Alejandro Barrera-Godínez María Graciela Leal-Gutiérrez Marcela Saeb-Lima Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease Annals of Internal Medicine: Clinical Cases |
| title | Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease |
| title_full | Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease |
| title_fullStr | Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease |
| title_full_unstemmed | Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease |
| title_short | Scurvy's Systemic Clinical Picture: A Multiorgan Presentation of a Conspicuous Disease |
| title_sort | scurvy s systemic clinical picture a multiorgan presentation of a conspicuous disease |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0746 |
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