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Skeletal Manifestations of Scurvy : A Case Report from Dubai
Joint Authors
Baloch, Naveed
Salat, Muhammad Sohail
Noordin, Shahryar
Ahmad, Tashfeen
Rashid Memon, Abdul
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Nutritional deficiencies are rarely reported in developed countries.
We report a child of Pakistani origin brought up in Dubai who developed skeletal manifestations of scurvy due to peculiar dietary habits.
Case Presentation.
A 4.5 year old boy presented with pain and swelling of multiple joints for three months and inability to walk for two months.
Dietary history was significant for exclusive meat intake for the preceding two years.
On examination the child’s height and weight were below the 5th percentile for his age.
He was pale and tachycardic.
There was significant swelling and tenderness over the wrist, knee and ankle joints, along with painful restriction of motion.
Basic blood workup was unremarkable except for anemia.
However, X-rays showed delayed bone age, severe osteopenia of the long bones, epiphyseal separation, cortical thinning and dense zone of provisional calcification, suggesting a radiological diagnosis of scurvy.
The child was started on vitamin C replacement therapy.
Over the following two months, the pain and swelling substantially reduced and the child became able to walk.
Repeat X-rays showed improvement in the bony abnormalities.
Conclusion.
Although scurvy is not a very commonly encountered entity in the modern era, inappropriate dietary intake can lead to skeletal abnormalities which may be confused with rickets.
A high index of suspicion is thus required for prompt diagnosis of scurvy in patients with bone and joint symptoms.
American Psychological Association (APA)
Noordin, Shahryar& Baloch, Naveed& Salat, Muhammad Sohail& Rashid Memon, Abdul& Ahmad, Tashfeen. 2012. Skeletal Manifestations of Scurvy : A Case Report from Dubai. Case Reports in Orthopedics،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-486053
Modern Language Association (MLA)
Noordin, Shahryar…[et al.]. Skeletal Manifestations of Scurvy : A Case Report from Dubai. Case Reports in Orthopedics No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-486053
American Medical Association (AMA)
Noordin, Shahryar& Baloch, Naveed& Salat, Muhammad Sohail& Rashid Memon, Abdul& Ahmad, Tashfeen. Skeletal Manifestations of Scurvy : A Case Report from Dubai. Case Reports in Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-486053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486053