Shiver me timbers: a modern case report of scurvy

被引:0
作者
Kate Abe-Ridgway [1 ]
Kara Leach [2 ]
机构
[1] University of Colorado School of Medicine,Department of Family Medicine
[2] University of Colorado School of Medicine,undefined
[3] ACUTE Center for Eating Disorders and Severe Malnutrition at Denver Health,undefined
来源
Discover Medicine | / 2卷 / 1期
关键词
Scurvy; Vitamin C; Ascorbic acid; Malnutrition; Eating disorder;
D O I
10.1007/s44337-025-00239-3
中图分类号
学科分类号
摘要
A 26-year-old female with a history of extreme anorexia nervosa restricting subtype presented to a hospital inpatient eating disorder unit in Denver, Colorado for medical stabilization of her severe protein calorie malnutrition. She was noted to have odd-shaped hairs and purple discoloration around the follicles on her legs consistent with corkscrew hairs and follicular hemorrhages. Labs subsequently showed an ascorbic acid (vitamin C) level of 21umol/L (normal 23–114), consistent with scurvy. This case illustrates the fact that in modern medicine, the diagnosis of scurvy requires an elevated index of suspicion for the disease and should be considered in the setting of other nutritional deficiencies.
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