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ID 63737
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Tamura, Nayu Center for Graduate Medical Education, Okayama University Hospital
Obara, Takafumi Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Yamada, Taihei Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Kaken ID researchmap
Nojima, Tsuyoshi Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University ORCID Kaken ID publons researchmap
Nakamura, Shunsuke Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Koide, Yasuhiro Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Takaoka, Makoto Department of Emergency, Steel Memorial Hirohata Hospital
Naito, Hiromichi Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University ORCID Kaken ID publons
Nakao, Atsunori Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Kaken ID
Abstract
Prolonged vitamin C deficiency can result in numerous metabolic abnormalities like impaired tissue repair and defective collagen synthesis. This case report describes a middle-age Japanese man presenting painful purpura on his lower limbs, severe anemia, and altered consciousness. The patient had been eating a selective diet lacking in vegetables and fruits since childhood. A serum analysis demonstrated a low level of vitamin C. The patient was treated with vitamin supplementation and psychological intervention. Scurvy is an underconsidered illness with a favorable prognosis if diagnosed early while it is still sporadically encountered in some patients with malabsorption or malnutrition even in modern times.
Keywords
vitamin C
malnutrition
malabsorption
peliosis
anemia
Published Date
2022
Publication Title
Internal Medicine
Volume
volume61
Issue
issue12
Publisher
The Japanese Society of Internal Medicine
Start Page
1913
End Page
1916
ISSN
0918-2918
NCID
AA12022491
Content Type
Journal Article
language
English
OAI-PMH Set
岡山大学
Copyright Holders
© 2022 The Japanese Society of Internal Medicine
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isVersionOf https://doi.org/10.2169/internalmedicine.8409-21
License
https://creativecommons.org/licenses/by-nc-nd/4.0/