Scurvy: A Case Report on a Child With Autism

Abstract

Scurvy is a nutritional deficiency which has currently become uncommon. Accurate history taking, strong suspicion and good clinical correlation especially in high risk groups are important in making an early diagnosis. A 9-year-old boy with underlying autism was presented to the Pediatric Dental Clinic with gingival swelling, fever and refusal to walk. The child was subsequently referred to the Pediatric Medical team for suspicion of a hematological malignancy. After a thorough assessment, he was diagnosed of having scurvy due to his peculiar diet habit. Vitamin C supplementation was started as diagnostic and therapeutic measures. Scurvy is a disease caused by chronic vitamin C deficiency. Though it has become uncommon, it still exists in high risk populations. The clinical manifestation of scurvy could be variable and non-specific. In practice, the diagnosis of scurvy is based on history and clinical findings. In cases of suspicion, resolution of disease manifestations after vitamin C supplementation remains the best diagnostic evidence. High index of suspicion is crucial to diagnose scurvy early in modern era. Early diagnosis is important for prompt initiation of treatment and fast resolution of symptoms. Int J Clin Pediatr. 2018;7(4):59-62 doi: https://doi.org/10.14740/ijcp321