坏血病
医学
瘀斑
肺动脉高压
心力衰竭
儿科
维生素C
抗坏血酸
复合维生素的
维生素
外科
内科学
食品科学
化学
作者
Keisuke Abé,Rutuja Kibe,Kurahara David,Venu Reddy,Bridget Allard,Marissa Fakaosita
标识
DOI:10.1080/20469047.2021.1901406
摘要
Scurvy, a condition caused by vitamin C deficiency, is rare, especially in high-income countries. Symptoms of scurvy are typically characterised by dermatological disorders such as poor wound healing and tooth loss, but there is not usually cardiac involvement. A case of reversible pulmonary hypertension and right-sided heart failure owing to scurvy in a 7-year-old boy with autism spectrum disorder is reported. He had a very restricted diet and presented with polyarthralgia, gingival hyperplasia with ecchymosis, and fatigue. His condition, including pulmonary hypertension and right-sided heart failure, completely resolved with vitamin C supplementation. Paediatricians should have a high index of suspicion for scurvy in children with nutritional selectivity and be aware that it can manifest with cardiac symptoms. Scurvy may be life-threatening if not treated, but the symptoms can improve rapidly with vitamin C supplementation.
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