アルコール使用障害患者に生じた下肢筋肉内血腫の原因として壊血病が疑われた1例(A case of suspected scurvy as the underlying cause of a lower limb intramuscular hematoma in a patient with alcohol use disorder)

Key Points

• To investigate the potential role of scurvy as a cause of intramuscular hematoma in a patient with alcohol use disorder.
• Case presentation of a 61-year-old female with a history of alcohol use disorder and poor diet.
• Emergency assessment revealing hypotension and severe anemia.
• Imaging studies identified an intramuscular hematoma in the lower limb.
• Laboratory tests indicated low vitamin C levels and coagulation abnormalities.
• The patient exhibited significant anemia with a hemoglobin level of 3.3 g/dL.
• Vitamin C deficiency was confirmed, raising suspicion for scurvy as a contributing factor.
• Vitamin C treatment led to a gradual decrease in required blood transfusions.