Disease of the past re-emerging in modern Australian society. Issue 4 (20th April 2019)

• Record Type: Journal Article
• Authors: Uddin, Mohammed Arif; Robson, Christopher; Dotel, Ravindra
• Is Part Of: BMJ case reports. Volume 12:Issue 4(2019)
• Publication Date: 2019-04-20
• Subjects: nutrition and metabolism -- diet -- public health; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-228448
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 28-year-old man with fever, atraumatic lower limb pain and rash was noted to have multiple areas of ecchymosis involving both lower limbs. He was anaemic and also had a grossly swollen left leg. Differential diagnoses of compartment syndrome, vascular tear, platelet and clotting factor disorders, vasculitis and myositis were ruled out. Scurvy was only considered after failing to reach a diagnosis. A dietary history revealed consumption of a restricted diet with no fresh fruits or vegetables. Diagnosis was supported by an undetectable vitamin C level in blood and a rapid improvement of symptoms on oral vitamin C replacement. Prevalence of vitamin C deficiency in developed countries is also discussed.