SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS
Background. Scurvy is very rarely seen in modern conditions. Material and Methods. We observed a case of scurvy that occurred as a result of prolonged malnutrition in a previously healthy 50-year-old man with low income. Results. The disease was manifested by severe weakness, edema of the legs, ging...
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SINAPS LLC
2017-05-01
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| Series: | Архивъ внутренней медицины |
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| Online Access: | https://www.medarhive.ru/jour/article/view/659 |
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| author | N. S. Chipigina N. Yu. Karpova M. A. Bolshakova T. Y. Kalinina E. D. Askhabova L. M. Yuzakharova S. D. Bagmanyan K. A. Badalyan O. K. Yutsevich |
| author_facet | N. S. Chipigina N. Yu. Karpova M. A. Bolshakova T. Y. Kalinina E. D. Askhabova L. M. Yuzakharova S. D. Bagmanyan K. A. Badalyan O. K. Yutsevich |
| author_sort | N. S. Chipigina |
| collection | DOAJ |
| description | Background. Scurvy is very rarely seen in modern conditions. Material and Methods. We observed a case of scurvy that occurred as a result of prolonged malnutrition in a previously healthy 50-year-old man with low income. Results. The disease was manifested by severe weakness, edema of the legs, gingivitis and spontaneous hemorrhagic eruptions on the legs, which were initially regarded as hemorrhagic vasculitis. The confluent character of hemorrhagic eruptions, their predominant localization along the posterior surface of the legs, the presence of perifollicular hemorrhages, pathognomonic for scurvy, gingivitis, complete absence of ascorbic acid consumption for several months, as well as concomitant alimentary dystrophy and multivitamin deficiency, allowed us to suspect scurvy in the patient. The rapid effect of vitamin C treatment has confirmed this diagnosis. Conclusions. The differential diagnosis of spontaneous hemorrhagic eruptions and purpura in patients with prolonged malnutrition should include scurvy, a disease almost forgotten in modern conditions. |
| format | Article |
| id | doaj-art-e5d2942e35b74c8c92b23b930eb6cbf7 |
| institution | Matheson Library |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| publishDate | 2017-05-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj-art-e5d2942e35b74c8c92b23b930eb6cbf72025-08-04T14:09:45ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642017-05-017322823210.20514/2226-6704-2017-7-3-228-232602SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITISN. S. Chipigina0N. Yu. Karpova1M. A. Bolshakova2T. Y. Kalinina3E. D. Askhabova4L. M. Yuzakharova5S. D. Bagmanyan6K. A. Badalyan7O. K. Yutsevich8Russian National Research Medical University named after N.I. Pirogov, MoascowRussian National Research Medical University named after N.I. Pirogov, Moascow«Oncological Cliniсal Dispensary № 1 Department of Public Health of Moscow», Moscow«Oncological Cliniсal Dispensary № 1 Department of Public Health of Moscow», MoscowRussian National Research Medical University named after N.I. Pirogov, MoascowRussian National Research Medical University named after N.I. Pirogov, MoascowRussian National Research Medical University named after N.I. Pirogov, MoascowRussian National Research Medical University named after N.I. Pirogov, MoascowRussian National Research Medical University named after N.I. Pirogov, MoascowBackground. Scurvy is very rarely seen in modern conditions. Material and Methods. We observed a case of scurvy that occurred as a result of prolonged malnutrition in a previously healthy 50-year-old man with low income. Results. The disease was manifested by severe weakness, edema of the legs, gingivitis and spontaneous hemorrhagic eruptions on the legs, which were initially regarded as hemorrhagic vasculitis. The confluent character of hemorrhagic eruptions, their predominant localization along the posterior surface of the legs, the presence of perifollicular hemorrhages, pathognomonic for scurvy, gingivitis, complete absence of ascorbic acid consumption for several months, as well as concomitant alimentary dystrophy and multivitamin deficiency, allowed us to suspect scurvy in the patient. The rapid effect of vitamin C treatment has confirmed this diagnosis. Conclusions. The differential diagnosis of spontaneous hemorrhagic eruptions and purpura in patients with prolonged malnutrition should include scurvy, a disease almost forgotten in modern conditions.https://www.medarhive.ru/jour/article/view/659scurvyscorbutvitamin c deficiencyhemorrhagic eruptions |
| spellingShingle | N. S. Chipigina N. Yu. Karpova M. A. Bolshakova T. Y. Kalinina E. D. Askhabova L. M. Yuzakharova S. D. Bagmanyan K. A. Badalyan O. K. Yutsevich SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS Архивъ внутренней медицины scurvy scorbut vitamin c deficiency hemorrhagic eruptions |
| title | SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS |
| title_full | SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS |
| title_fullStr | SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS |
| title_full_unstemmed | SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS |
| title_short | SCURVY — A FORGOTTEN DISEASE UNDER THE GUISE OF HEMORRHAGIC VASCULITIS |
| title_sort | scurvy a forgotten disease under the guise of hemorrhagic vasculitis |
| topic | scurvy scorbut vitamin c deficiency hemorrhagic eruptions |
| url | https://www.medarhive.ru/jour/article/view/659 |
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