PDF(Pubmed)
Abstract：
Vitamin C deficiency, also known as scurvy, causes abnormalities in connective tissues and varied symptoms. We describe a patient with putaminal hemorrhage, a very rare presentation of scurvy. A 39-year-old man presented with weakness in the left arm and left leg. Right putaminal hemorrhage was initially diagnosed, and he underwent evacuation of the intracerebral hemorrhage. Scurvy was suspected when repeated physical examinations revealed a bleeding tendency and multiple untreated dental caries, missing teeth, and gingivitis. A diagnosis of scurvy was further supported by the patient\'s history of smoking, alcohol use disorder, poor diet, and low plasma vitamin C concentration. After receiving oral nutritional supplementation including vitamin C, the bleeding tendency quickly improved. This case highlights the importance of including scurvy in a differential diagnosis for patients with bleeding tendencies, especially those with a poor diet or unknown dietary history. Empirical administration of vitamin C is a reasonable treatment.
摘要：
维生素C缺乏,也被称为镰刀病，导致结缔组织异常和各种症状。我们描述了一个壳出血的病人,非常罕见的镰刀病。一名39岁的男子左臂和左腿虚弱。最初诊断为右侧肠管出血,他接受了脑出血的疏散。反复体格检查显示有出血倾向和多次未经治疗的龋齿时,怀疑患有此病,缺失的牙齿,和牙龈炎.该患者的吸烟史进一步支持了对风湿病的诊断，酒精使用障碍,不良饮食,和低血浆维生素C浓度。在接受包括维生素C在内的口服营养补充剂后，出血倾向迅速改善。该病例强调了在对有出血倾向的患者进行鉴别诊断时，包括镰刀的重要性。尤其是那些饮食不良或饮食史不详的人。经验性服用维生素C是一种合理的治疗方法。
