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CASE REPORT
Severe scurvy in a patient with eosinophilicoesophagitis
  1. Kristina Weitzel and
  2. Nabeel Moon
  1. Internal Medicine, University of Florida, Gainesville, Florida, USA
  1. Correspondence to Dr Nabeel Moon, moonna{at}ufl.edu

Abstract

While scurvy is considered to be a rare disease in the modern era, the disease still presents in certain populations with nutritional deficiencies such as those with poor nutritional absorption secondary to gastrointestinal disorders and in patients with poor nutritional intake. We present a case of scurvy in a patient who had eosinophilic oesophagitis which limited his oral intake. He presented with the classic symptoms of scurvy including a perifollicular rash, arthralgia, gingivitis and anaemia. He was treated with intravenous vitamin C initially followed by an oral course after which he showed improvement. This case demonstrates that it is important to consider vitamin C deficiency in patients with who present with anaemia and bleeding stigmata specifically in those who have poor nutritional intake. Furthermore, additional consideration should be given to patients with malnutrition as part of the preoperative evaluation.

  • oesophagus
  • nutrition and metabolism
  • diet
  • malnutrition
  • vitamins and supplements
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Footnotes

  • KW and NM contributed equally.

  • Contributors Both NM and KW contributed in obtaining the history from the patient and both contributed in writing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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