镰刀是一种罕见的临床综合征,由长期缺乏维生素C引起,在海湾地区并不常见。它可以表现为非特异性症状,使诊断和治疗具有挑战性。在儿科患者中,症状可能包括体重减轻,嗜睡,低烧,不同程度的贫血,容易瘀伤或出血,关节和肌肉疼痛,伤口愈合不良。尽管许多海湾国家在医疗保健方面取得了进步,营养缺乏仍然可能发生在某些人群中。因此,这对儿科医生来说很重要,骨科医生,风湿病学家,和放射科医生在对低年级儿童的评估中考虑镰刀,多系统参与。我们报告了一例6岁男孩,他多次出现在急诊科(ED),并伴有进行性右(RT)腿部疼痛。临床表现和影像学发现提示慢性复发性多灶性骨髓炎(CRMO)。尽管症状进展,最终诊断为镰刀病,用维生素C治疗可迅速缓解其症状。该病例强调了在多系统受累儿童的鉴别诊断中考虑镰刀的重要性。特别是在营养缺乏可能更普遍的地区。
Scurvy is a rare clinical syndrome resulting from prolonged vitamin C deficiency and is uncommon in the Gulf area. It can present with non-specific symptoms, making diagnosis and treatment challenging. In pediatric patients, symptoms may include weight loss, lethargy, low-grade fever, anemia of varying degrees, easy bruising or bleeding, joint and muscle pain, and poor wound healing. Despite advances in healthcare in many Gulf countries, nutritional deficiencies can still occur in certain populations. Therefore, it is important for pediatricians, orthopedists, rheumatologists, and radiologists to consider scurvy in the evaluation of children with low-grade, multisystemic involvement. We report a
case of a six-year-old boy who presented to the emergency department (ED) multiple times with progressive right (RT) leg pain. The clinical picture and imaging findings suggested chronic recurrent multifocal osteomyelitis (CRMO). Despite symptom progression, scurvy was ultimately diagnosed and treatment with vitamin C led to rapid resolution of his symptoms. This
case highlights the importance of considering scurvy in the differential diagnosis of children with multisystemic involvement, especially in regions where nutritional deficiencies may be more prevalent.