Pediatric Scurvy: When Contemporary Eating Habits Bring Back the Past

Frontiers in Pediatrics
Alice BrambillaSandra Trapani

Abstract

Vitamin C deficiency is anecdotal in developed countries, mainly associated with underling clinical morbidities as autism or neurological impairment. Chronic insufficient dietary supply is responsible for vascular fragility and impaired bone formation, resulting in gingival bleeding, petechial lesions, articular and bone pain or limb swelling. Children may present anorexia, irritability, failure to thrive, limping or refusal to walk. Accordingly, pediatric scurvy is frequently misdiagnosed with osteomyelitis, septic arthritis, bone and soft tissue tumor, leukemia, bleeding disorders, and rheumatologic conditions. We report the case of a 3-years old child developing scurvy as consequence of strict selective diet; extensive and invasive investigations were undertaken before the correct diagnosis was considered. Despite being considered a rare condition, scurvy still exists nowadays, even in children with no apparent risk factors living in wealthy families. The increasing popularity of dietary restriction for children, especially those with allergies, may potentially enhance the occurrence of scurvy in apparently healthy children. Appropriate dietary anamnesis is fundamental in order to highlight potential nutritional deficit and ...Continue Reading

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Citations

Apr 25, 2020·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Priya KothariPriyanshi Ritwik
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Feb 23, 2020·The American Journal of Dermatopathology·Nathan M JohnsonDouglas J Grider
Feb 23, 2020·Frontiers in Pediatrics·Christel ChalouhiVéronique Abadie
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Feb 3, 2021·Journal of Pediatric Orthopedics·Tommy PanWilliam L Hennrikus
Jun 23, 2021·BMJ Case Reports·Narueporn LikhitweerawongOrawan Louthrenoo

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Methods Mentioned

BETA
biopsy
bone
X-ray

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