End stage scurvy in the developed world: A diagnostic conundrum but not to be mistaken for pyoderma gangrenosum.
Scurvy is a clinical syndrome, resulting from ascorbic acid deficiency. Prevalence of the condition is now extremely low in the Western population and its diagnosis can be challenging without a high index of suspicion. When cases do present, they are often misdiagnosed initially. Therefore, a thorou...
| Publicado en: | International Wound Journal Vol. 16; no. 4; pp. 1024 - 1029 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137639551&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137639551 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Aug2019 vid: 16 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 137639551 137639551 137639551 10.1111/iwj.13149 137639551 ppf: 1024 ppct: 5 formats: tig: atl: End stage scurvy in the developed world: A diagnostic conundrum but not to be mistaken for pyoderma gangrenosum. aug: au: Le, Stephanie T. Wang, Jenny Z. Alexanian, Claire C. Johng, Stephanie Y. Patel, Forum B. Wang, Elizabeth A. Ma, Chelsea Wilken, Reason Cheng, Michelle Y. Maverakis, Emanual affil: Department of Dermatology, University of California, Davis, Sacramento California sug: subj: Developed Countries Scurvy Diagnosis Scurvy Classification Diagnostic Errors Pyoderma Gangrenosum Leg Ulcer Scurvy Therapy Hormone Replacement Therapy Incidence Nutritional Support Wound Healing ab: Scurvy is a clinical syndrome, resulting from ascorbic acid deficiency. Prevalence of the condition is now extremely low in the Western population and its diagnosis can be challenging without a high index of suspicion. When cases do present, they are often misdiagnosed initially. Therefore, a thorough history, physical exam, and laboratory evaluation are key to showing this now rare but extremely well‐known disease. We report a case of scurvy manifesting as persistent non‐healing lower‐extremity ulcerations, initially mistaken for pyoderma gangrenosum. The patient responded to appropriate replacement therapy, but ulcers were slow to heal. As was the case in our patient, symptom reversal may require additional nutritional replacement. We encourage physicians to consider nutritional deficiencies in their differential diagnoses and highlight the incidence of malnutrition in the proper clinical setting to avoid diagnostic delay. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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