Forgotten Disease “Scurvy - Vitamin C Deficiency”

Case Report
Lalima Soni., Kapil Bainade., Kotrashetti V., Prashant Abusaria and Pallavi Singh
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0909.2737
Subject: 
science
KeyWords: 
Scurvy, Global Developmental Delay, Failure tothrive.
Abstract: 

Introduction: -Scurvy is better known as severe vitamin C deficiency. Vitamin C, or ascorbic acid, is an essential dietary nutrient. It plays a role in the development and functioning of several bodily structures and processes, including: The proper formation of collagen, the protein that helps give the body’s connective tissues structure and stability, cholesterol and protein metabolism, ironabsorption, antioxidant action, wound healing, creation of neurotransmitters like dopamine and epinephrine. Case Report:- An 18 months old male child was admitted in view of swelling of both knee joints with inability to move lower limbs. The patient also had global developmental delay and failure to thrive. On examination, both knee joints were swollen, tender with restricted movements. X-rays of bilateral knee joints revealed signs of scurvy. Blood reports also had low levels of vitamin C. Thus, the diagnosis of scurvy was made which was confirmed when patient was started with vitamin C supplements and gradually improved and later discharged Conclusion:-Patients with scurvy may present with classic symptoms and signs or with nonspecific clinical symptoms and an absence of diagnostically suggestive physical findings. Concomitant deficiency states occur not uncommonly. Taking a thorough dietary history and measuring serum ascorbic acid levels should be considered for patients with classic signs and symptoms, nonspecific musculoskeletal complaints, or other vitamin or mineral deficiencies.