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Skeletal Manifestations of Scurvy: A Case Report from Dubai

Introduction. Nutritional deficiencies are rarely reported in developed countries. We report a child of Pakistani origin brought up in Dubai who developed skeletal manifestations of scurvy due to peculiar dietary habits. Case Presentation. A 4.5 year old boy presented with pain and swelling of multi...

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Autores principales: Noordin, Shahryar, Baloch, Naveed, Salat, Muhammad Sohail, Rashid Memon, Abdul, Ahmad, Tashfeen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504259/
https://www.ncbi.nlm.nih.gov/pubmed/23259126
http://dx.doi.org/10.1155/2012/624628
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author Noordin, Shahryar
Baloch, Naveed
Salat, Muhammad Sohail
Rashid Memon, Abdul
Ahmad, Tashfeen
author_facet Noordin, Shahryar
Baloch, Naveed
Salat, Muhammad Sohail
Rashid Memon, Abdul
Ahmad, Tashfeen
author_sort Noordin, Shahryar
collection PubMed
description Introduction. Nutritional deficiencies are rarely reported in developed countries. We report a child of Pakistani origin brought up in Dubai who developed skeletal manifestations of scurvy due to peculiar dietary habits. Case Presentation. A 4.5 year old boy presented with pain and swelling of multiple joints for three months and inability to walk for two months. Dietary history was significant for exclusive meat intake for the preceding two years. On examination the child's height and weight were below the 5th percentile for his age. He was pale and tachycardic. There was significant swelling and tenderness over the wrist, knee and ankle joints, along with painful restriction of motion. Basic blood workup was unremarkable except for anemia. However, X-rays showed delayed bone age, severe osteopenia of the long bones, epiphyseal separation, cortical thinning and dense zone of provisional calcification, suggesting a radiological diagnosis of scurvy. The child was started on vitamin C replacement therapy. Over the following two months, the pain and swelling substantially reduced and the child became able to walk. Repeat X-rays showed improvement in the bony abnormalities. Conclusion. Although scurvy is not a very commonly encountered entity in the modern era, inappropriate dietary intake can lead to skeletal abnormalities which may be confused with rickets. A high index of suspicion is thus required for prompt diagnosis of scurvy in patients with bone and joint symptoms.
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spelling pubmed-35042592012-12-20 Skeletal Manifestations of Scurvy: A Case Report from Dubai Noordin, Shahryar Baloch, Naveed Salat, Muhammad Sohail Rashid Memon, Abdul Ahmad, Tashfeen Case Rep Orthop Case Report Introduction. Nutritional deficiencies are rarely reported in developed countries. We report a child of Pakistani origin brought up in Dubai who developed skeletal manifestations of scurvy due to peculiar dietary habits. Case Presentation. A 4.5 year old boy presented with pain and swelling of multiple joints for three months and inability to walk for two months. Dietary history was significant for exclusive meat intake for the preceding two years. On examination the child's height and weight were below the 5th percentile for his age. He was pale and tachycardic. There was significant swelling and tenderness over the wrist, knee and ankle joints, along with painful restriction of motion. Basic blood workup was unremarkable except for anemia. However, X-rays showed delayed bone age, severe osteopenia of the long bones, epiphyseal separation, cortical thinning and dense zone of provisional calcification, suggesting a radiological diagnosis of scurvy. The child was started on vitamin C replacement therapy. Over the following two months, the pain and swelling substantially reduced and the child became able to walk. Repeat X-rays showed improvement in the bony abnormalities. Conclusion. Although scurvy is not a very commonly encountered entity in the modern era, inappropriate dietary intake can lead to skeletal abnormalities which may be confused with rickets. A high index of suspicion is thus required for prompt diagnosis of scurvy in patients with bone and joint symptoms. Hindawi Publishing Corporation 2012 2012-09-03 /pmc/articles/PMC3504259/ /pubmed/23259126 http://dx.doi.org/10.1155/2012/624628 Text en Copyright © 2012 Shahryar Noordin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Noordin, Shahryar
Baloch, Naveed
Salat, Muhammad Sohail
Rashid Memon, Abdul
Ahmad, Tashfeen
Skeletal Manifestations of Scurvy: A Case Report from Dubai
title Skeletal Manifestations of Scurvy: A Case Report from Dubai
title_full Skeletal Manifestations of Scurvy: A Case Report from Dubai
title_fullStr Skeletal Manifestations of Scurvy: A Case Report from Dubai
title_full_unstemmed Skeletal Manifestations of Scurvy: A Case Report from Dubai
title_short Skeletal Manifestations of Scurvy: A Case Report from Dubai
title_sort skeletal manifestations of scurvy: a case report from dubai
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504259/
https://www.ncbi.nlm.nih.gov/pubmed/23259126
http://dx.doi.org/10.1155/2012/624628
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