镰刀是由抗坏血酸缺乏引起的。这种疾病在19世纪随着新的饮食习惯的出现而首次出现在儿童中;特别是,加热牛奶,导致抗坏血酸的损失。即使在西方国家,镰刀病已经成为一种罕见的疾病,许多病例仍在儿科患者中报告,尤其是那些由于神经或精神疾病而缺乏适当营养的人。症状包括出血和牙龈肿胀,牙齿松动,骨异常,关节痛,伤口愈合延迟,贫血,瘀斑,还有紫癜.骨病变主要是长骨干干meta部的不规则性。我们报告了一个五岁男孩的病例,该男孩表现出关节痛和肢体变形(genuvalgum)。对患者进行了维生素缺乏症的调查,以排除病。放射学检查显示干phy端征象与镰刀病相容。住院期间,观察到该患者的饮食模式异常,而镰刀症归因于营养不良。虽然镰刀病很少发生,在有维生素缺乏风险的儿童中检测这种疾病仍然至关重要。如果没有针对性的治疗,镰刀病的并发症可能是严重的,可能是致命的。
Scurvy results from a deficiency of ascorbic acid. This disease first appeared in children during the 19th century with the emergence of new dietary habits; in particular, heating milk that leads to a loss of ascorbic acid. Even though scurvy has become a rare condition in western countries, many cases are still reported in pediatric patients, especially in those who lack proper nutrition due to neurological or psychiatric illnesses. Symptoms include bleeding and swollen gums, loosening of teeth, bone abnormalities, arthralgia, delayed wound healing, anemia, petechiae, and purpura. Bone lesions are mainly irregularities of long bones metaphyses. We report the
case of a five-year-old boy who presented with arthralgia and limb deformation (genu valgum). The patient was investigated for vitamin deficiencies to exclude rickets. The radiologic investigations revealed metaphyseal signs compatible with scurvy. During the hospitalization, the patient was observed to have abnormal eating patterns and the scurvy was attributed to malnutrition. Although the occurrence of scurvy is rare, it remains essential to detect this disease in children at risk of developing vitamin deficiencies. Without targeted treatment, the complications of scurvy can be serious and potentially fatal.