What question did this study set out to answer?

To describe the clinical presentations, diagnostic delays, and radiologic features of scurvy presenting as refusal to walk in pediatric patients.

June 1, 2014JCR Journal of Clinical Rheumatology

Scurvy Revealed by Difficulty Walking

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Authors

MKMaleewan KitcharoensakkulSt. Louis Children's Hospital CSChrista G. SchulzWashington University in St. Louis RKRachel KasselUniversity of Alabama at Birmingham

Discussion

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Implication

Case series reveals scurvy presenting as gait impairment in young children, highlighting the need to consider nutritional deficiencies before extensive rheumatologic testing.

Key Points

To describe the clinical presentations, diagnostic delays, and radiologic features of scurvy presenting as refusal to walk in pediatric patients.
Evaluated clinical manifestations, dietary histories, laboratory results, and radiographic findings in 3 young pediatric patients presenting with refusal to ambulate.
Assessed symptom resolution and functional recovery following therapeutic vitamin C replacement.
All 3 patients had severe dietary restriction of fruits and vegetables due to oral aversion, concomitant vitamin D deficiency, and long-bone radiographic changes, but only 1 exhibited gingival lesions.
Two of the 3 patients underwent extensive testing for hematologic and rheumatologic conditions prior to receiving an accurate diagnosis of scurvy.
Vitamin C supplementation resulted in complete resolution of lower-extremity pain and restored independent ambulation across all patients.

Cite This Study

Kitcharoensakkul et al. (2014) studied this question.

synapsesocial.com/papers/6a7c8f05076dbfca02ba5a62 https://doi.org/10.1097/rhu.0000000000000101

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Implication

Case series reveals scurvy presenting as gait impairment in young children, highlighting the need to consider nutritional deficiencies before extensive rheumatologic testing.

Scurvy Revealed by Difficulty Walking

Discussion

Member takes

Implication

Key Points

Cite This Study

Scurvy Revealed by Difficulty Walking

Discussion

Member takes

Implication

Key Points

Cite This Study

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