A case report on modern-day scurvy

Abstract

Scurvy, from the Latin word scorbutus meaning to rupture or lacerate, refers to the clinical disease caused by nutritional deficiency of Vitamin C (Ascorbic acid), with characteristic mucocutaneous and mus- culoskeletal features. It was originally described in the 18th century by James Lind and associated with long sea voyages and insufficient citrus consumption. Despite much decrease in prevalence, it still exists in developed countries. This case reports on an older male who presented with general lethargy, gum disease and easy bruising. His dietary history suggested global nutrient deficiency. Investigations excluded common causes of bleeding: trauma, coagulopathies, vasculitis, and malignancy. A low Vitamin C level confirmed the diagnosis of scurvy. This report serves to remind clinicians to consider scurvy as a possible working diagnosis in at-risk patients.