PDF(Pubmed)
Abstract：
Scurvy is a rare condition characterized by a deficiency in dietary vitamin C. Historically a disease taught in the context of long ocean voyages with limited vitamin intake, it is now rare in developed nations. The classical physical exam findings include gingival bleeding, perifollicular hemorrhages, and corkscrew hairs. We discuss the case of a 15-year-old female with scurvy whose initial presentation suggested more common diagnoses seen in the emergency department setting. Her course was complicated by a prior history of anorexia nervosa and a restrictive diet that lacked necessary vitamins. Once the patient\'s dietary habits were identified, a detailed physical exam revealed the characteristic findings. She was subsequently discharged with oral vitamin C supplements and was scheduled for outpatient follow-up to monitor symptoms.
摘要：
镰刀是一种罕见的疾病，其特征是缺乏膳食维生素C。从历史上看，这是一种在长期海洋航行的背景下教授的疾病，维生素摄入量有限，现在在发达国家很少见。经典的体检结果包括牙龈出血，卵泡周出血，和开瓶器的头发。我们讨论了一名15岁女性的镰刀病病例，其最初的表现表明在急诊科中发现了更常见的诊断。她的课程因之前的神经性厌食症病史和缺乏必要维生素的限制性饮食而变得复杂。一旦患者的饮食习惯被确定，详细的身体检查揭示了特征性的发现。她随后口服维生素C补充剂出院，并计划进行门诊随访以监测症状。
