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Scurvy mimicking as systemic lupus erythematosus
  1. Narueporn Likhitweerawong1,
  2. Nonglak Boonchooduang1,
  3. Wipawee Morakote2 and
  4. Orawan Louthrenoo1
  1. 1Paediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  2. 2Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  1. Correspondence to Professor Orawan Louthrenoo; orawan.l{at}cmu.ac.th

Abstract

Scurvy is a disease caused by chronic vitamin C deficiency. The greater prevalence was found in the paediatric population with neurodevelopmental disorders such as autism spectrum disorders due to their restricted dietary intake. Our case reported a child with autism who presented with arthralgia and anaemia. Systemic lupus erythematosus was the first diagnostic impression, resulting in over investigation and delayed diagnosis of vitamin C deficiency. After the child was treated with ascorbic acid, the child’s symptoms resolved. This case highlighted the importance of developmental and nutritional history taking in the paediatric population. Furthermore, parents and physicians should be concerned about nutritional status, especially in children with restrictive dietary intake.

  • paediatrics
  • developmental paediatrocs

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Footnotes

  • Contributors NL: collected data, reviewed the literature and wrote the manuscript. WM: provided and described the X-ray images. NB and OL: supervised and edited the manuscript. All authors read and approved the final manuscript.

  • 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.