Bilinen Ama Unutulan Hastal�k: On Ya��nda Skorbüt Olgusu

�Z�M, �zlem; YILMAZ, �nci T�rkan; TANRIVERD�, Ceyda; SARIO�LU, Fatma Ceren; �NCE, G�lberat; KASAP-DEM�R, Belde; KANIK, Ali

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Bilinen Ama Unutulan Hastal�k: On Ya��nda Skorbüt Olgusu [Forbes J Med]

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

Bilinen Ama Unutulan Hastal�k: On Ya��nda Skorbüt Olgusu

�zlem �Z�M¹, �nci T�rkan YILMAZ², Ceyda TANRIVERD�¹, Fatma Ceren SARIO�LU², G�lberat �NCE¹, Belde KASAP-DEM�R³, Ali KANIK⁴
¹Sa�l�k Bilimleri �niversitesi, Tepeci E�itim ve Ara�t�rma Hastanesi, �ocuk Sa�l�� ve Hastal�klar�, �zmir
²Sa�l�k Bilimleri �niversitesi, Tepecik E�itim ve Ara�t�rma Hastanesi, �ocuk Radyolojisi, �zmir, T�rkiye
³�zmir Katip �elebi �niversitesi T�p Fak�ltesi �ocuk Romatoloji Anabilim Dal�, �zmir, T�rkiye
⁴�zmir Katip �elebi �niversitesi T�p Fak�ltesi �ocuk Sa�l�� ve Hastal�klar� Anabilim Dal�, �zmir, T�rkiye

Bu olgu sunumunda, C vitamini eksikli�ine ba�l� skorbüt hastal�� tan�s� alan serebral palsili 10 ya��ndaki erkek hastan�n semptomlar�, tan� ve tedavi süreci sunulmaktad�r. On ya��nda serebral palsi ve epilepsi tan�l� erkek hasta, ü� haftad�r sa� ayak bile�i ve sol dizinde a�r�, �i�lik, basamama �ikayetleri ile ba�vurdu. Sol diz ve sa� ayak bile�inde �i�lik ve �dem mevcuttu. Bacaklarda pete�iyal lezyonlar ve ekimoz mevcuttu. Ayr�ca di�eti kanamas� ve hipertrofi g�zlendi. Laboratuvar incelemelerinde anemi ve akut faz reaktan yüksekli�i saptand�. Non-steroidal anti-enflamatuvar tedavi ba�land� ancak gerileme olmad�. Sol diz grafileri ve manyetik rezonans g�rüntüleme yap�ld� ve metafiz hatt�nda yo�un �izgiler tespit edildi. Hastan�n yo�un �izgi bulgusu, miyalji, pete�iler, demir tedavisine yan�t vermeyen anemi, di�eti hipertrofisi ve kanamas� de�erlendirildi�inde skorbüt hastal�� ile uyumlu bulundu. G�daya kolay eri�im ve sa�l�kl� beslenme bilgilerinin yayg�nl��na ra�men, olgumuzda oldu�u gibi se�ici beslenen otizm spektrum bozuklu�u veya n�rogeli�imsel gerili�i olan hastalarda bu semptomlar�n varl��nda skorbüt hastal�� dü�ünülmelidir.

Anahtar Kelimeler: �ocuk, yo�un �izgi, metafiz dü, zensizli�i, pete�i, C vitamini

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

�zlem �Z�M¹, �nci T�rkan YILMAZ², Ceyda TANRIVERD�¹, Fatma Ceren SARIO�LU², G�lberat �NCE¹, Belde KASAP-DEM�R³, Ali KANIK⁴
¹University of Health Sciences Türkiye, �zmir Tepecik Training and Research Hospital, Clinic of Pediatric Diseases, �zmir, Türkiye
²University of Health Sciences Türkiye, �zmir Tepecik Training and Research Hospital, Clinic of Pediatric Radiology, �zmir, Türkiye
³�zmir Katip �elebi University Faculty of Medicine, Department of Pediatric Rheumatology, �zmir, Türkiye
⁴�zmir Katip �elebi University Faculty of Medicine, Department of Pediatric Diseases, �zmir, 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

Sorumlu Yazar: �zlem �Z�M, T�rkiye
Makale Dili: �ngilizce

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