Scurvy: Difference between revisions
No edit summary |
|||
| Line 28: | Line 28: | ||
==Diagnosis== | ==Diagnosis== | ||
Guided by clinical suspicion but confirmed with laboratory analysis of vitamin C levels. | *Guided by clinical suspicion but confirmed with laboratory analysis of vitamin C levels. | ||
==Management== | ==Management== | ||
Vitamin C supplementation. | *Vitamin C supplementation. | ||
==Disposition== | ==Disposition== | ||
| Line 42: | Line 42: | ||
# Kluesner, Nicholas and Miller, daniel. “Scurvy: Malnourishment in the land of the plenty.” The journal of emergency medicine. Vol 46. no 4. pages 530-532. 2014. | # Kluesner, Nicholas and Miller, daniel. “Scurvy: Malnourishment in the land of the plenty.” The journal of emergency medicine. Vol 46. no 4. pages 530-532. 2014. | ||
# Maltos, andre, et al. “Scurvy in a patient with AIDS: case report.” Revista de sociedade brasileira de medicina tropical 44(1): 122-123. 2011. | # Maltos, andre, et al. “Scurvy in a patient with AIDS: case report.” Revista de sociedade brasileira de medicina tropical 44(1): 122-123. 2011. | ||
<references/> | <references/> | ||
[[Category:Dermatology]] | |||
[[Category:FEN]] | |||
Revision as of 11:33, 11 May 2016
Background
- Nutritional deficiency of Vitamin C (Ascorbic acid)
- Vitamin C is typically foundin fruits and vegetables.
- Vitamin C is a cofactor for hydroxylation of proline and lysine amino acids in procollagen molecules, which is required for cross-linking collagen's triple helix.
- Scurvy therefore leads to unstable collagen and collagen fragility.
- leaking of vascular structures
- gingival bleeding
- petechiae
- easy bruising
- leaking of vascular structures
- Vitamin C is also required for the disulfide bonding in hair leading to corkscrew appearance of hair.
Clinical Features
- Gingival bleeding
- Easy bruising
- Petechiae
- Corkscrew hair
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Vitamin deficiencies
- Vitamin A deficiency
- Vitamin B deficiencies
- Vitamin B1 deficiency (Thiamine)
- Vitamin B3 deficiency (Pellagra)
- Vitamin B9 deficiency (Folate)
- Vitamin B7 deficiency (Biotin)
- Vitamin B12 deficiency
- Vitamin C deficiency (Scurvy)
- Vitamin D deficiency (Rickets)
- Vitamin E deficiency
- Vitamin K deficiency
- Zinc deficiency
Diagnosis
- Guided by clinical suspicion but confirmed with laboratory analysis of vitamin C levels.
Management
- Vitamin C supplementation.
Disposition
See Also
External Links
References
- Kluesner, Nicholas and Miller, daniel. “Scurvy: Malnourishment in the land of the plenty.” The journal of emergency medicine. Vol 46. no 4. pages 530-532. 2014.
- Maltos, andre, et al. “Scurvy in a patient with AIDS: case report.” Revista de sociedade brasileira de medicina tropical 44(1): 122-123. 2011.