Scurvy is caused by vitamin C deficiency due to insufficient dietary intake of citrus fruits and vegetables. It commonly affects those with alcohol or substance use disorders and severe malnutrition. Symptoms include skin hemorrhages, bleeding gums, joint pain, fatigue, and impaired wound healing. Treatment involves oral or injected vitamin C supplementation, which resolves most symptoms within days, though excessive doses can cause side effects like abdominal pain.
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Scurvy (vitamin c deficiency) HY
1. Scurvy (vitamin C deficiency)
Epidemiology
Due to insufficient dietary intake (lack of citrus
fruits/vegetables)
Most commonly seen with alcohol use disorder, substance
use disorder & severe malnutrition
Manifestations
Cutaneous: petechiae, follicular hemorrhage, bruising, coiled
hairs
Gingival: bleeding/receding gums & dental caries
Constitutional: arthralgias, weakness, malaise, depression
Impaired wound healing
Vasomotor instability (if severe/prolonged)
Treatment
Oral/injectable vitamin C resolves most symptoms within
days
Toxicity (eg, abdominal pain, diarrhea, nausea) can occur
with excessive supplementation