Forbes J Med. 2024; 5(1): 71-75 | DOI: 10.4274/forbes.galenos.2023.00821

Known But Forgotten Disease: A Ten-year-old Scurvy Case

Özlem ÜZÜM¹, Ýnci Türkan YILMAZ², Ceyda TANRIVERDݹ, Fatma Ceren SARIOÐLU², Gülberat ÝNCE¹, Belde KASAP-DEMÝR³, Ali KANIK^4
1University of Health Sciences Türkiye, Ýzmir Tepecik Training and Research Hospital, Clinic of Pediatric Diseases, Ýzmir, Türkiye
²University of Health Sciences Türkiye, Ýzmir Tepecik Training and Research Hospital, Clinic of Pediatric Radiology, Ýzmir, Türkiye
³Ýzmir Katip Çelebi University Faculty of Medicine, Department of Pediatric Rheumatology, Ýzmir, Türkiye
⁴Ýzmir Katip Çelebi University Faculty of Medicine, Department of Pediatric Diseases, Ýzmir, Türkiye

In this case report, the symptoms, diagnosis, and treatment process of a ten-year-old male patient with cerebral palsy diagnosed with scurvy due to vitamin C deficiency are presented. A 10-year-old male patient with a diagnosis of cerebral palsy and epilepsy was admitted with complaints of pain, swelling, and inability to step on the right ankle and left knee for 3 weeks. Swelling and edema were present in the left knee and right ankle. There were petechial lesions and ecchymosis on the legs. In addition, gingival bleeding and hypertrophy were observed. Laboratory examinations revealed anemia and acute phase reactant elevation. Non-steroidal anti-inflammatory therapy was initiated, but no regression was observed. Radiographs of the left knee and magnetic resonance imaging were performed, and dense lines were detected in the metaphyseal line. When the patient’s dense lines finding, myalgia, petechiae, anemia that is unresponsive to iron treatment, gingival hypertrophy, and bleeding were evaluated, it was found to be compatible with scurvy disease. Despite the prevalence of easy access to food and healthy nutrition information, scurvy disease should be considered in patients with selectively fed autism spectrum disorder or neurodevelopmental retardation, as in our case.

Keywords: Child, dense line, metaphyseal irregularity, petechiae, vitamin C

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Bilinen Ama Unutulan Hastalýk: On Yaþýnda Skorbüt Olgusu

Özlem ÜZÜM¹, Ýnci Türkan YILMAZ², Ceyda TANRIVERDݹ, Fatma Ceren SARIOÐLU², Gülberat ÝNCE¹, Belde KASAP-DEMÝR³, Ali KANIK^4
1Saðlýk Bilimleri Üniversitesi, Tepeci Eðitim ve Araþtýrma Hastanesi, Çocuk Saðlýðý ve Hastalýklarý, Ýzmir
²Saðlýk Bilimleri Üniversitesi, Tepecik Eðitim ve Araþtýrma Hastanesi, Çocuk Radyolojisi, Ýzmir, Türkiye
³Ýzmir Katip Çelebi Üniversitesi Týp Fakültesi Çocuk Romatoloji Anabilim Dalý, Ýzmir, Türkiye
⁴Ýzmir Katip Çelebi Üniversitesi Týp Fakültesi Çocuk Saðlýðý ve Hastalýklarý Anabilim Dalý, Ýzmir, Türkiye

Bu olgu sunumunda, C vitamini eksikliðine baðlý skorbüt hastalýðý tanýsý alan serebral palsili 10 yaþýndaki erkek hastanýn semptomlarý, taný ve tedavi süreci sunulmaktadýr. On yaþýnda serebral palsi ve epilepsi tanýlý erkek hasta, üç haftadýr sað ayak bileði ve sol dizinde aðrý, þiþlik, basamama þikayetleri ile baþvurdu. Sol diz ve sað ayak bileðinde þiþlik ve ödem mevcuttu. Bacaklarda peteþiyal lezyonlar ve ekimoz mevcuttu. Ayrýca diþeti kanamasý ve hipertrofi gözlendi. Laboratuvar incelemelerinde anemi ve akut faz reaktan yüksekliði saptandý. Non-steroidal anti-enflamatuvar tedavi baþlandý ancak gerileme olmadý. Sol diz grafileri ve manyetik rezonans görüntüleme yapýldý ve metafiz hattýnda yoðun çizgiler tespit edildi. Hastanýn yoðun çizgi bulgusu, miyalji, peteþiler, demir tedavisine yanýt vermeyen anemi, diþeti hipertrofisi ve kanamasý deðerlendirildiðinde skorbüt hastalýðý ile uyumlu bulundu. Gýdaya kolay eriþim ve saðlýklý beslenme bilgilerinin yaygýnlýðýna raðmen, olgumuzda olduðu gibi seçici beslenen otizm spektrum bozukluðu veya nörogeliþimsel geriliði olan hastalarda bu semptomlarýn varlýðýnda skorbüt hastalýðý düþünülmelidir.

Anahtar Kelimeler: Çocuk, yoðun çizgi, metafiz dü, zensizliði, peteþi, C vitamini

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