Adult Scurvy Presenting with Painful Purpura on the Legs

Nayu Tamura, Takafumi Obara, Taihei Yamada, Tsuyoshi Nojima, Shunsuke Nakamura, Yasuhiro Koide, Makoto Takaoka, Hiromichi Naito, Atsunori Nakao

Research output: Contribution to journalArticlepeer-review

Abstract

Prolonged vitamin C deficiency can result in numerous metabolic abnormalities like impaired tissue repair and defective collagen synthesis. This case report describes a middle-age Japanese man presenting painful purpura on his lower limbs, severe anemia, and altered consciousness. The patient had been eating a selective diet lacking in vegetables and fruits since childhood. A serum analysis demonstrated a low level of vitamin C. The patient was treated with vitamin supplementation and psychological intervention. Scurvy is an under-considered illness with a favorable prognosis if diagnosed early while it is still sporadically encountered in some patients with malabsorption or malnutrition even in modern times.

Original languageEnglish
Pages (from-to)1913-1916
Number of pages4
JournalInternal Medicine
Volume61
Issue number12
DOIs
Publication statusPublished - 2022

Keywords

  • anemia
  • malabsorption
  • malnutrition
  • peliosis
  • vitamin C

ASJC Scopus subject areas

  • Internal Medicine

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