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Scurvy in a boy with knee pain and a limping gait: a case report

Draman, Samsul and Che' Man, Mohamad and Megat Ahmed Tahwil, Puteri Fatin Nabilah and Che Alhadi, Shahidah and Amiruddin, Salman (2021) Scurvy in a boy with knee pain and a limping gait: a case report. Journal of Critical Reviews, 8 (2). pp. 520-523. ISSN 2394-5125

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Scurvy is a disease caused by chronic vitamin C deficiency which has become uncommon in the modern age. Several cases have been reported in children with restricted dietary habits with neurodevelopmental issues. It is often overlooked as an initial diagnosis in view of its vague presentations mimicking other systemic diseases which lead to extensive investigations and delay in diagnosis. A previously healthy 9-year-old boy with left knee pain and a limping gait presented to a local health clinic. The child subsequently developed worsening bilateral knee pain and was unable to walk without support. His restricted diet and radiographic findings were suggestive of scurvy which was confirmed by the extremely low levels of ascorbic acid. Treatment with ascorbic acid replenishment and maintenance resulted in remarkable improvement of his symptoms. This case highlights the importance of a high index of suspicion in at-risk children so as to avoid unnecessary invasive investigations and procedures

Item Type: Article (Journal)
Uncontrolled Keywords: Scurvy, vitamin C, ascorbic acid, limping gait, knee pain
Subjects: R Medicine > R Medicine (General)
R Medicine > RB Pathology
R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics
R Medicine > RM Therapeutics. Pharmacology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine > Department of Surgery
Date Deposited: 06 May 2021 12:23
Last Modified: 06 May 2021 12:23
URI: http://irep.iium.edu.my/id/eprint/89709

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