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Ned Tijdschr Geneeskd ; 154: A1638, 2010.
Article in Dutch | MEDLINE | ID: mdl-20699018

ABSTRACT

A 68-year-old female with an extensive history of unexplained problems presented at the Department of Internal Medicine for an analysis of painful cutaneous abnormalities of the lower legs. A systemic cause could not be found. Later on the general practitioner noted haematoma and petechiae and subsequently a hypovitaminosis C. The patient received active vitamin C supplement for this. The cutaneous abnormalities on the legs had significantly improved after 3 weeks. This patient was found to have symptomatic hypovitaminosis C, also known as scurvy, as a complication of an psychiatric disorder. Although scurvy might appear to be a disease of the past that rarely occurs nowadays, it should nevertheless be given due consideration. This requires a good history taking.


Subject(s)
Ascorbic Acid/therapeutic use , Hematoma/diagnosis , Scurvy/diagnosis , Scurvy/drug therapy , Aged , Female , Hematoma/etiology , Humans , Scurvy/complications , Treatment Outcome , Vitamins/therapeutic use
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