Macedonian Journal of Medical Sciences
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Abstract                                                                         [Full-Text PDF] [Macedonian Abstract] [OnlineFirst Full-Text PDF]


Macedonian Journal of Medical Sciences. 2008 Sep 15; 1(1):64-67.


Case Report


Osteoskeletal Manifestation of Scurvy in a Male Infant (Case Report)


Nada Pop-Jordanova, Nevenka Slavevska, Stojka Fustic

Pediatric Clinic, Faculty of Medicine, University "Ss Kiril and Metodij", Skopje, Republic of Macedonia


Scurvy, a disease of dietary deficiency of vitamin C, was uncommon in the last century due to improved nutrition and health care. However, in the last decade it was increasingly reported in adult population. In a period of infancy, scurvy appears after the age of five months and is related mainly to malnutrition. The main symptoms are vascular purpura, bleeding and gum abnormalities, but musculoskeletal manifestations could also be prominent. Children experience severe lower limb pain related to subperiosteal bleeding. The misdiagnosis with rickets and arthritis is common. We present a case of scurvy in 8 month boy with osteoskeletal manifestation, very rare seen in contemporary European pediatrics. The diagnosis of our patient is made by clinical presentation (such as haematuria, edema of lower extremities as well as swollen right leg), some biochemical parameters and radiological finding. The therapeutically outcome and follow-up of the boy confirmed the diagnosis and etiology.


Key words: Scurvy; osteoskeletal problems; infant.


Publication of the MJMS is supported by the Macedonian Ministry of Education and Sciences.
Institute of Immunobiology and Human GeneticsSkopje, Republic of Macedonia.
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