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Scurvy Presenting as Painful Gait With Bruising in a Young Boy
Yoshiko Tamura, BS, MD;
Derek C. Welch, BA, MD;
John A. Zic, MD;
William O. Cooper, MD, MPH;
Sharon M. Stein, MD;
Donna S. Hummell, MD
Arch Pediatr Adolesc Med. 2000;154:732-735.
A case of scurvy occurred in an apparently well-nourished 5-year-old boy with normal growth parameters. Only after the diagnosis of scurvy was raised on clinical grounds did we discover the peculiar dietary habits that were responsible for his deficiency of ascorbic acid. His case is a reminder to the clinician that nutritionally based disease may occur in any socioeconomic setting and that nutritional screening remains an important part of every child's general health care.
From the Division of Dermatology, School of Medicine (Drs Tamura and Welch), Department of Medicine (Dr Zic), and the Departments of Pediatrics (Drs Cooper, Stein, and Hummell) and Radiology and Radiological Sciences (Dr Stein), Vanderbilt University, Nashville, Tenn.
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