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Case Reports: Unusual presentation of more common disease/injury
Unusual case of ‘scorbutic proptosis’
  1. Shilpa Khanna Arora1,
  2. Manisha Jana2 and
  3. Rachna Seth3
  1. 1Pediatrics, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India
  2. 2Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), NewDelhi, India
  3. 3Pediatrics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Rachna Seth; drrachnaseth1967{at}gmail.com

Abstract

Proptosis is a frequent presenting symptom/sign of many paediatric malignancies. Acute-onset proptosis is an ophthalmic emergency that can endanger vision if not treated promptly. Appropriate treatment must be instituted only after investigating for the underlying aetiology. Here, we report a developmentally delayed boy in middle childhood who presented with recent onset bilateral proptosis. Clinical examination followed by radiological evaluation suggested scurvy to be the underlying cause and vitamin C supplementation led to prompt reversal of proptosis. The relevant literature has been reviewed and presented here to apprise the paediatric oncologists about this rare but easily treatable cause of proptosis.

  • Paediatric oncology
  • Childhood nutrition (paediatrics)
  • Preventative pediatrics

https://doi.org/10.1136/bcr-2022-253380

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SKA, MJ and RS. The following authors gave final approval of the manuscript: SKA, MJ and RS.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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