Adult scurvy associated with psychiatric disorders and breast feeding
| Autor: | Lucas G. Fernández-Otero, Pablo D. Calo, Stefania Urueña-Palacio, Bruno L. Ferreyro |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Anorexia Nervosa global health nutritional support Ascorbic Acid eating disorders anxiety disorders (including OCD and PTSD) Diagnosis Differential 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Rare Disease medicine Dietary Carbohydrates Humans 030212 general & internal medicine Ascorbic Acid Deficiency Fatigue Anamnesis Pregnancy Hematoma Tea business.industry Anemia General Medicine Scurvy medicine.disease Anxiety Disorders Diet Eating disorders Breast Feeding Anorexia nervosa (differential diagnoses) Dietary Supplements Female business Gingival Hemorrhage Breast feeding Rare disease |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | Scurvy is a nutritional disease caused by ascorbic acid deficiency and is potentially fatal. It was originally described in the 18th century by James Lind and associated with long sea voyages and insufficient citrus consumption. Its prevalence has declined markedly over the years but has still been described sporadically in certain countries. A 22-year-old woman with an anxiety disorder and anorexia nervosa, recent pregnancy and ongoing breast feeding, presented with a 10-day history of spontaneous haematomas in the lower limbs, gingivorrhagia and fatigue. The examination was remarkable for signs of minor bleeding without haemodynamic compromise, gonalgia and pale skin. Work-up studies revealed the presence of anaemia. Direct anamnesis identified a diet based solely of tea and carbohydrates due to distorted body image. With the working diagnosis of scurvy, nutritional support and oral vitamin C supplementation was initiated. Her symptoms and anaemia resolved in 30 days and the diagnosis was confirmed biochemically. |
| Databáze: | OpenAIRE |
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