PDF(Pubmed)
Abstract：
Scurvy, characterized by vitamin C deficiency, typically manifests with various symptoms, most commonly skin lesions. However, the presentation of a solitary skin lesion is considered atypical. An elderly patient with a history of heavy alcohol consumption presented with a small skin lesion that developed rapidly into a solitary open wound without any preceding trauma. Laboratory analysis revealed severe vitamin C deficiency (<5 μmol/L). The patient showed significant improvement following high-dose vitamin C replacement therapy. This case underscores the potential for scurvy to present with a solitary lower body wound devoid of typical symptoms. It highlights the importance of prompt consideration of vitamin C replacement therapy, particularly in high-risk groups such as alcoholics, by healthcare providers.
摘要：
镰刀,以维生素C缺乏为特征，通常表现为各种症状，最常见的皮肤损伤。然而,孤立性皮肤病变的表现被认为是不典型的。有大量饮酒史的老年患者，表现为小的皮肤病变，迅速发展为孤立的开放性伤口，没有任何先前的创伤。实验室分析显示严重的维生素C缺乏（<5μmol/L）。高剂量维生素C替代疗法后，患者表现出明显的改善。此病例强调了镰刀可能会出现孤立的下体伤口，没有典型症状。它强调了迅速考虑维生素C替代疗法的重要性，特别是在酗酒者等高危人群中，医疗保健提供者。
