Scurvy: Bilateral lower extremity ecchymoses and paraparesis
A 46-year-old man presented with two weeks of progressive paraparesis and large confluent ecchymoses of both thighs. There was a history of poor dietary intake and daily alcohol use. He had had similar problems each of the past two winters. In 1979 he required hospitalization for “sciatica.” In 1980...
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| Veröffentlicht in: | Annals of emergency medicine 1982-08, Vol.11 (8), p.446-448 |
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| container_title | Annals of emergency medicine |
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| creator | Allen, John I. Naas, Peggy L. Perri, Robert T. |
| description | A 46-year-old man presented with two weeks of progressive paraparesis and large confluent ecchymoses of both thighs. There was a history of poor dietary intake and daily alcohol use. He had had similar problems each of the past two winters. In 1979 he required hospitalization for “sciatica.” In 1980 he was bedridden for two months because of lower extremity weakness. Examination revealed poorly fitting dentures, large confluent ecchymoses of both thighs, perifollicular hemorrhages, and a low serum ascorbic acid concentration. Oral ascorbic acid was begun in the hospital and all clinical symptomatic consequences of scurvy rapidly resolved. We present this case to reiterate the clinical presentation of scurvy and to emphasize the importance of recognizing early signs of nutritional deficiencies that may be confused with more common, but often less treatable, diseases. |
| doi_str_mv | 10.1016/S0196-0644(82)80047-4 |
| format | Article |
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There was a history of poor dietary intake and daily alcohol use. He had had similar problems each of the past two winters. In 1979 he required hospitalization for “sciatica.” In 1980 he was bedridden for two months because of lower extremity weakness. Examination revealed poorly fitting dentures, large confluent ecchymoses of both thighs, perifollicular hemorrhages, and a low serum ascorbic acid concentration. Oral ascorbic acid was begun in the hospital and all clinical symptomatic consequences of scurvy rapidly resolved. We present this case to reiterate the clinical presentation of scurvy and to emphasize the importance of recognizing early signs of nutritional deficiencies that may be confused with more common, but often less treatable, diseases.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(82)80047-4</identifier><identifier>PMID: 7103165</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Ascorbic Acid - therapeutic use ; Humans ; Male ; Middle Aged ; scurvy ; Scurvy - diagnosis ; Scurvy - drug therapy ; Scurvy - physiopathology</subject><ispartof>Annals of emergency medicine, 1982-08, Vol.11 (8), p.446-448</ispartof><rights>1982 American College of Emergency Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-7908e31a5140ee5c9f300626540204548d31d03dce5e8180acdc0081015e01d43</citedby><cites>FETCH-LOGICAL-c360t-7908e31a5140ee5c9f300626540204548d31d03dce5e8180acdc0081015e01d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0196-0644(82)80047-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7103165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, John I.</creatorcontrib><creatorcontrib>Naas, Peggy L.</creatorcontrib><creatorcontrib>Perri, Robert T.</creatorcontrib><title>Scurvy: Bilateral lower extremity ecchymoses and paraparesis</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>A 46-year-old man presented with two weeks of progressive paraparesis and large confluent ecchymoses of both thighs. There was a history of poor dietary intake and daily alcohol use. He had had similar problems each of the past two winters. In 1979 he required hospitalization for “sciatica.” In 1980 he was bedridden for two months because of lower extremity weakness. Examination revealed poorly fitting dentures, large confluent ecchymoses of both thighs, perifollicular hemorrhages, and a low serum ascorbic acid concentration. Oral ascorbic acid was begun in the hospital and all clinical symptomatic consequences of scurvy rapidly resolved. We present this case to reiterate the clinical presentation of scurvy and to emphasize the importance of recognizing early signs of nutritional deficiencies that may be confused with more common, but often less treatable, diseases.</description><subject>Ascorbic Acid - therapeutic use</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>scurvy</subject><subject>Scurvy - diagnosis</subject><subject>Scurvy - drug therapy</subject><subject>Scurvy - physiopathology</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLw0AUhQdRaq3-hEJWoovoncwrEUG0-IKCi-p6GGducSRp6kxSzb83feDWxeUuzrn3cD5CxhQuKFB5OQNayBQk52d5dp4DcJXyPTKkUKhUKgn7ZPhnOSRHMX4CQMEzOiADRYFRKYbkembbsOqukjtfmgaDKZOy_saQ4E8TsPJNl6C1H11VR4yJWbhkaYLpB6OPx-RgbsqIJ7s9Im8P96-Tp3T68vg8uZ2mlkloUlVAjowaQTkgClvMGYDMpOCQARc8d4w6YM6iwJzmYKyzAHnfUiBQx9mInG7_LkP91WJsdOWjxbI0C6zbqBWnTCmmeqPYGm2oYww418vgKxM6TUGvqekNNb1GovNMb6jpdcB4F9C-V-j-rnaYev1mq2PfcuUx6Gg9Liw6H9A22tX-n4RfWrx6zQ</recordid><startdate>198208</startdate><enddate>198208</enddate><creator>Allen, John I.</creator><creator>Naas, Peggy L.</creator><creator>Perri, Robert T.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198208</creationdate><title>Scurvy: Bilateral lower extremity ecchymoses and paraparesis</title><author>Allen, John I. ; Naas, Peggy L. ; Perri, Robert T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-7908e31a5140ee5c9f300626540204548d31d03dce5e8180acdc0081015e01d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Ascorbic Acid - therapeutic use</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>scurvy</topic><topic>Scurvy - diagnosis</topic><topic>Scurvy - drug therapy</topic><topic>Scurvy - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allen, John I.</creatorcontrib><creatorcontrib>Naas, Peggy L.</creatorcontrib><creatorcontrib>Perri, Robert T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allen, John I.</au><au>Naas, Peggy L.</au><au>Perri, Robert T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scurvy: Bilateral lower extremity ecchymoses and paraparesis</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>1982-08</date><risdate>1982</risdate><volume>11</volume><issue>8</issue><spage>446</spage><epage>448</epage><pages>446-448</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><abstract>A 46-year-old man presented with two weeks of progressive paraparesis and large confluent ecchymoses of both thighs. 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| fulltext | fulltext |
| identifier | ISSN: 0196-0644 |
| ispartof | Annals of emergency medicine, 1982-08, Vol.11 (8), p.446-448 |
| issn | 0196-0644 1097-6760 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74137737 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Ascorbic Acid - therapeutic use Humans Male Middle Aged scurvy Scurvy - diagnosis Scurvy - drug therapy Scurvy - physiopathology |
| title | Scurvy: Bilateral lower extremity ecchymoses and paraparesis |
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