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Scurvy Presenting with Severe Skin Changes

      Scurvy is a condition caused by a severe lack of dietary vitamin C, which is found in many fruits and vegetables. Vitamin C serves as an essential cofactor for collagen production. As an important structural protein, deficiencies in collagen formation result in fragile tissues and capillaries. (
      • Ronchetti IP
      • Quaglino Jr., D
      • Bergamini G.
      Ascorbic acid and connective tissue.
      ) Physical examination findings of lower extremity edema, hyperkeratosis, poor wound healing, perifollicular petechiae, purpura, and corkscrew hair are all associated with scurvy. Treatment for scurvy is with vitamin C supplementation and modification to the dietary habits that led to the condition. (
      • Hirschmann JV
      • Raugi GJ.
      Adult scurvy.
      ) We present a case of a patient who presented to our Emergency Department (ED) for dramatic leg lesions and was found to have scurvy.

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      References

        • Ronchetti IP
        • Quaglino Jr., D
        • Bergamini G.
        Ascorbic acid and connective tissue.
        in: Harris JR Subcellular biochemistry volume 25: ascorbic acid: biochemistry and biomedical cell biology. Plenum Press, New York1996: 249-264
        • Hirschmann JV
        • Raugi GJ.
        Adult scurvy.
        J Am Acad Dermatol. 1999; 41 (quiz 907–10): 895-906