RT Journal Article SR Electronic T1 Disease of the past re-emerging in modern Australian society JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e228448 DO 10.1136/bcr-2018-228448 VO 12 IS 4 A1 Mohammed Arif Uddin A1 Christopher Robson A1 Ravindra Dotel YR 2019 UL http://casereports.bmj.com/content/12/4/e228448.abstract AB A 28-year-old man with fever, atraumatic lower limb pain and rash was noted to have multiple areas of ecchymosis involving both lower limbs. He was anaemic and also had a grossly swollen left leg. Differential diagnoses of compartment syndrome, vascular tear, platelet and clotting factor disorders, vasculitis and myositis were ruled out. Scurvy was only considered after failing to reach a diagnosis. A dietary history revealed consumption of a restricted diet with no fresh fruits or vegetables. Diagnosis was supported by an undetectable vitamin C level in blood and a rapid improvement of symptoms on oral vitamin C replacement. Prevalence of vitamin C deficiency in developed countries is also discussed.