Radiology Case Reports (May 2021)

Pediatric scurvy MRI appearance

  • Alec Ganske, MD,
  • Amy B. Kolbe, MD,
  • Kristen Thomas, MD,
  • Nathan Hull, MD

Journal volume & issue
Vol. 16, no. 5
pp. 1148 – 1152

Abstract

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We present a rare case of pediatric scurvy in a 9-year-old male who presented with nontraumatic knee pain. MRI was obtained due to the puzzling presentation. MRI demonstrated a systemic bone marrow abnormality which led to a conversation with the clinician and further elucidation of an extremely narrow diet lacking sufficient vitamin C (ascorbic acid). Diagnosis was confirmed biochemically with undetectable ascorbic acid level and clinically with compatible exam and history. This case highlights a thought process for unexpected bone marrow abnormality on MRI.

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