Case report: a boy with inability to walk; don’t forget about scurvy

Mansor, Noor Emilia Emira and Said, Abdul Hadi (2024) Case report: a boy with inability to walk; don’t forget about scurvy. Malaysian Family Physician, 19 (NA). pp. 1-4. ISSN 1985-207X E-ISSN 1985-2274

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Abstract

Scurvy, a condition caused by vitamin C de�ciency, is characterized by a syndrome of multisystem disorder due to defective collagen production and antioxidative function. �is condition is infrequent in this modern era; thus, it is often not within the list of di�erential diagnoses. �e broad clinical picture is generally overlooked as other systemic illnesses, resulting in an extensive investigation that delays the diagnosis. Herein, we report a case of an 8-year-old boy with underlying autism spectrum disorder who presented with lower limb pain and other constitutional symptoms. Examination revealed multiple hyperpigmented scars over the upper and lower limbs and gingival hyperpigmentation. With history of picky eating habits and clinical symptoms supported by radiographic �ndings, scurvy was suspected and subsequently con�rmed based on a low level of ascorbic acid. With vitamin C supplementation and proper nutritional support, the patient recovered well.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Scurvy, Lower limb pain, Nutritional de�ciency, Autism spectrum disorder
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	15 Jan 2024 17:12
Last Modified:	28 Nov 2025 11:59
URI:	http://irep.iium.edu.my/id/eprint/110110

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