Scurvy induced by obsessive–compulsive disorder
Historically, scurvy has been associated with sailors of great navigational epochs. This disease has been known since ancient Egypt, but nowadays it is almost forgotten. Although its prevalence has decreased over the centuries, scurvy is still present in developed countries. A 61-year-old man was re...
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| Veröffentlicht in: | BMJ case reports 2009, Vol.2009 (mar19 1), p.bcr0720080462-bcr0720080462 |
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| container_title | BMJ case reports |
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| creator | Vieira, Amanda A O Minicucci, Marcos Ferreira Gaiolla, Rafael D Okoshi, Marina P Duarte, Daniella R Matsubara, Luiz S Inoue, Roberto M T Azevedo, Paula S Polegato, Bertha F Zornoff, Leonardo A M Paiva, Sergio A R |
| description | Historically, scurvy has been associated with sailors of great navigational epochs. This disease has been known since ancient Egypt, but nowadays it is almost forgotten. Although its prevalence has decreased over the centuries, scurvy is still present in developed countries. A 61-year-old man was referred to hospital with a 30-day history of anorexia, fatigue, gingival bleeding and ecchymosis of the arms and legs. On physical examination he presented gingival hypertrophic lesions, signs of chronic periodontitis and petechial rash, and several bruises on his arms and legs. A food frequency questionnaire revealed a long history of poor diet, with no vegetables or fruit. The patient had ingested only chocolate milk and cookies for the last 10 years due to fear of pesticides being present in foods of vegetable origin. A diagnosis of scurvy induced by obsessive–compulsive disorder was suspected, and after vitamin C supplementation there was a marked improvement of symptoms. |
| doi_str_mv | 10.1136/bcr.07.2008.0462 |
| format | Article |
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This disease has been known since ancient Egypt, but nowadays it is almost forgotten. Although its prevalence has decreased over the centuries, scurvy is still present in developed countries. A 61-year-old man was referred to hospital with a 30-day history of anorexia, fatigue, gingival bleeding and ecchymosis of the arms and legs. On physical examination he presented gingival hypertrophic lesions, signs of chronic periodontitis and petechial rash, and several bruises on his arms and legs. A food frequency questionnaire revealed a long history of poor diet, with no vegetables or fruit. The patient had ingested only chocolate milk and cookies for the last 10 years due to fear of pesticides being present in foods of vegetable origin. A diagnosis of scurvy induced by obsessive–compulsive disorder was suspected, and after vitamin C supplementation there was a marked improvement of symptoms.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr.07.2008.0462</identifier><identifier>PMID: 21686798</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acids ; Autoimmune diseases ; Blood ; Bone marrow ; Citrus fruits ; Collagen ; Disease ; Hematology ; Iron ; Male ; Neuroses ; Nutrition ; Obsessive compulsive disorder ; Reminder of Important Clinical Lesson ; South/Central America ; Vitamin C ; White</subject><ispartof>BMJ case reports, 2009, Vol.2009 (mar19 1), p.bcr0720080462-bcr0720080462</ispartof><rights>2009 BMJ Publishing Group Ltd</rights><rights>Copyright: 2009 2009 BMJ Publishing Group Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3742-bf3053a83dfcf7584dbc492672c2ed32a5c366e29ec0ad526e40664943c3b6af3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029355/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029355/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,27902,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21686798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vieira, Amanda A O</creatorcontrib><creatorcontrib>Minicucci, Marcos Ferreira</creatorcontrib><creatorcontrib>Gaiolla, Rafael D</creatorcontrib><creatorcontrib>Okoshi, Marina P</creatorcontrib><creatorcontrib>Duarte, Daniella R</creatorcontrib><creatorcontrib>Matsubara, Luiz S</creatorcontrib><creatorcontrib>Inoue, Roberto M T</creatorcontrib><creatorcontrib>Azevedo, Paula S</creatorcontrib><creatorcontrib>Polegato, Bertha F</creatorcontrib><creatorcontrib>Zornoff, Leonardo A M</creatorcontrib><creatorcontrib>Paiva, Sergio A R</creatorcontrib><title>Scurvy induced by obsessive–compulsive disorder</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Historically, scurvy has been associated with sailors of great navigational epochs. This disease has been known since ancient Egypt, but nowadays it is almost forgotten. Although its prevalence has decreased over the centuries, scurvy is still present in developed countries. A 61-year-old man was referred to hospital with a 30-day history of anorexia, fatigue, gingival bleeding and ecchymosis of the arms and legs. On physical examination he presented gingival hypertrophic lesions, signs of chronic periodontitis and petechial rash, and several bruises on his arms and legs. A food frequency questionnaire revealed a long history of poor diet, with no vegetables or fruit. The patient had ingested only chocolate milk and cookies for the last 10 years due to fear of pesticides being present in foods of vegetable origin. A diagnosis of scurvy induced by obsessive–compulsive disorder was suspected, and after vitamin C supplementation there was a marked improvement of symptoms.</description><subject>Acids</subject><subject>Autoimmune diseases</subject><subject>Blood</subject><subject>Bone marrow</subject><subject>Citrus fruits</subject><subject>Collagen</subject><subject>Disease</subject><subject>Hematology</subject><subject>Iron</subject><subject>Male</subject><subject>Neuroses</subject><subject>Nutrition</subject><subject>Obsessive compulsive disorder</subject><subject>Reminder of Important Clinical Lesson</subject><subject>South/Central America</subject><subject>Vitamin C</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqFkctKAzEUhoMottTuXcmACxfSMbdJZjaCFG9QcKGCu5Db6JSZSU06he58B9_QJzGltVQ3ZpMc8p2f_5wfgGMEU4QIu1Dap5CnGMI8hZThPdBHPOMjXsCX_Z13DwxDmMJ4CKI5JYeghxHLGS_yPkCPuvOLZVK1ptPWJGqZOBVsCNXCfn18atfMunpVJKYKzhvrj8BBKetgh5t7AJ5vrp_Gd6PJw-39-GoyUoRTPFIlgRmROTGlLnmWU6M0LTDjWGNrCJaZJoxZXFgNpckwsxQyRgtKNFFMlmQALte6s0411mjbzr2sxcxXjfRL4WQlfv-01Zt4dQtBIC5IlkWBs42Ad--dDXPRVEHbupatdV0QOScIk4zzSJ7-Iaeu822cTiCe4-iJMRwpuKa0dyF4W269IChWiYiYiIBcrBIRq0Riy8nuDNuGn_1H4HwNqGb6v9w3He-VmQ</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Vieira, Amanda A O</creator><creator>Minicucci, Marcos Ferreira</creator><creator>Gaiolla, Rafael D</creator><creator>Okoshi, Marina P</creator><creator>Duarte, Daniella R</creator><creator>Matsubara, Luiz S</creator><creator>Inoue, Roberto M T</creator><creator>Azevedo, Paula S</creator><creator>Polegato, Bertha F</creator><creator>Zornoff, Leonardo A M</creator><creator>Paiva, Sergio A R</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2009</creationdate><title>Scurvy induced by obsessive–compulsive disorder</title><author>Vieira, Amanda A O ; Minicucci, Marcos Ferreira ; Gaiolla, Rafael D ; Okoshi, Marina P ; Duarte, Daniella R ; Matsubara, Luiz S ; Inoue, Roberto M T ; Azevedo, Paula S ; Polegato, Bertha F ; Zornoff, Leonardo A M ; Paiva, Sergio A R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3742-bf3053a83dfcf7584dbc492672c2ed32a5c366e29ec0ad526e40664943c3b6af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acids</topic><topic>Autoimmune diseases</topic><topic>Blood</topic><topic>Bone marrow</topic><topic>Citrus fruits</topic><topic>Collagen</topic><topic>Disease</topic><topic>Hematology</topic><topic>Iron</topic><topic>Male</topic><topic>Neuroses</topic><topic>Nutrition</topic><topic>Obsessive compulsive disorder</topic><topic>Reminder of Important Clinical Lesson</topic><topic>South/Central America</topic><topic>Vitamin C</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vieira, Amanda A O</creatorcontrib><creatorcontrib>Minicucci, Marcos Ferreira</creatorcontrib><creatorcontrib>Gaiolla, Rafael D</creatorcontrib><creatorcontrib>Okoshi, Marina P</creatorcontrib><creatorcontrib>Duarte, Daniella R</creatorcontrib><creatorcontrib>Matsubara, Luiz S</creatorcontrib><creatorcontrib>Inoue, Roberto M T</creatorcontrib><creatorcontrib>Azevedo, Paula S</creatorcontrib><creatorcontrib>Polegato, Bertha F</creatorcontrib><creatorcontrib>Zornoff, Leonardo A M</creatorcontrib><creatorcontrib>Paiva, Sergio A R</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vieira, Amanda A O</au><au>Minicucci, Marcos Ferreira</au><au>Gaiolla, Rafael D</au><au>Okoshi, Marina P</au><au>Duarte, Daniella R</au><au>Matsubara, Luiz S</au><au>Inoue, Roberto M T</au><au>Azevedo, Paula S</au><au>Polegato, Bertha F</au><au>Zornoff, Leonardo A M</au><au>Paiva, Sergio A R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scurvy induced by obsessive–compulsive disorder</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2009</date><risdate>2009</risdate><volume>2009</volume><issue>mar19 1</issue><spage>bcr0720080462</spage><epage>bcr0720080462</epage><pages>bcr0720080462-bcr0720080462</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Historically, scurvy has been associated with sailors of great navigational epochs. This disease has been known since ancient Egypt, but nowadays it is almost forgotten. Although its prevalence has decreased over the centuries, scurvy is still present in developed countries. A 61-year-old man was referred to hospital with a 30-day history of anorexia, fatigue, gingival bleeding and ecchymosis of the arms and legs. On physical examination he presented gingival hypertrophic lesions, signs of chronic periodontitis and petechial rash, and several bruises on his arms and legs. A food frequency questionnaire revealed a long history of poor diet, with no vegetables or fruit. The patient had ingested only chocolate milk and cookies for the last 10 years due to fear of pesticides being present in foods of vegetable origin. 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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Acids Autoimmune diseases Blood Bone marrow Citrus fruits Collagen Disease Hematology Iron Male Neuroses Nutrition Obsessive compulsive disorder Reminder of Important Clinical Lesson South/Central America Vitamin C White |
| title | Scurvy induced by obsessive–compulsive disorder |
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