Scurvy. A forgotten pseudovasculitis.

Autor: Cabaleiro-Raña N; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain. Electronic address: noeliamedicalcr@gmail.com., Santos-Álvarez D; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain., Romar de Las Heras L; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain., Álvarez-Reguera C; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain., Cervantes Pérez EC; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain., Hernández Cancela RM; Servicio de Anatomía Patológica, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain., Romero-Yuste S; Servicio de Reumatología, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Jazyk: angličtina
Zdroj: Reumatologia clinica [Reumatol Clin (Engl Ed)] 2024 May; Vol. 20 (5), pp. 281-285. Date of Electronic Publication: 2024 May 30.
DOI: 10.1016/j.reumae.2024.05.003
Abstrakt: Scurvy is a nutritional disease caused by ascorbic acid (vitamin C) deficiency. Althought currently it is a rare disease, we should considerer it in the differential diagnosis of purpura and arthritis in patients with restrictive diets. We present the case of a 49-year-old man with a history of a nutritional disorder presented to our hospital with generalized purpura and hemarthros. Following the anamnesis and laboratory findings, rheumatological, infectious and hematological etiologies were excluded. Finally, the diagnosis of scurvy was made upon demostration poor levels of vitamin C and a spectacular response to nutritional supplements. We compare this case with 19 similar cases reported in the medical literature.
(Copyright © 2024 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.)
Databáze: MEDLINE
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