ABSTRACT
In modern times scurvy is a rarely encountered disease caused by ascorbic acid (vitamin C) deficiency. However, sporadic cases of scurvy persist, particularly within the pediatric population. Recent individual case reports highlight an increased incidence of scurvy among patients with autism or developmental delay, with isolated case reports detailing the magnetic resonance imaging (MRI) findings of scurvy in these pediatric populations. We present the MRI findings of scurvy in four patients with autism or developmental delay, and review the literature on MRI findings in pediatric patients with scurvy. Despite its rarity, the radiologist must consider scurvy in a pediatric patient with a restricted diet presenting with arthralgia or myalgia.
Subject(s)
Bone Diseases, Developmental/pathology , Bone Diseases, Metabolic/pathology , Bone and Bones/pathology , Magnetic Resonance Imaging/methods , Scurvy/pathology , Bone Diseases, Developmental/complications , Bone Diseases, Metabolic/complications , Child , Child, Preschool , Diagnosis, Differential , Humans , Male , Scurvy/complicationsABSTRACT
The 3 cases presented here involve 3 unusual and different complications of costal exostoses: spontaneous hemothorax, pneumothorax, and pericardial effusion. All of the cases presented with chest pain to the emergency department. Two of the cases have hereditary multiple exostoses. All but one of the patients required surgical intervention. Complications of costal exostoses are rare, but hemothorax, pneumothorax, and pericardial effusions can occur.
