Noelia Cabaleiro-Raña , Diego Santos-Álvarez , Lucía Romar de las Heras , Carmen Álvarez-Reguera , Evelin Cecilia Cervantes Pérez , Rosa María Hernández Cancela , Susana Romero-Yuste
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引用次数: 0
摘要
坏血病是一种由抗坏血酸（维生素 C）缺乏引起的营养性疾病。尽管坏血病目前并不多见，但我们仍应将其视为限制饮食患者紫癜和关节炎的鉴别诊断依据。本病例是一名 49 岁的男性患者，曾有营养失调病史，因全身紫癜和关节炎来我院就诊。根据病史和实验室检查结果，排除了风湿病、感染性疾病和血液病的病因。最后，根据维生素 C 含量低和对营养补充剂的明显反应，确诊为坏血病。我们将该病例与医学文献中报道的 19 例类似病例进行了比较。
Scurvy is a nutritional disease caused by ascorbic acid (vitamin C) deficiency. Althought currently it is a rare disease, we should considerer it in the differential diagnosis of purpura and arthritis in patients with restrictive diets.
We present the case of a 49-year-old man with a history of a nutritional disorder presented to our hospital with generalized purpura and hemarthros. Following the anamnesis and laboratory findings, rheumatological, infectious and hematological etiologies were excluded. Finally, the diagnosis of scurvy was made upon demostration poor levels of vitamin C and a spectacular response to nutritional supplements. We compare this case with 19 similar cases reported in the medical literature.
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