Abstract
Background. Scurvy is very rarely seen in modern conditions. Material and Methods. We observed a case of scurvy that occurred as a result of prolonged malnutrition in a previously healthy 50-year-old man with low income. Results. The disease was manifested by severe weakness, edema of the legs, gingivitis and spontaneous hemorrhagic eruptions on the legs, which were initially regarded as hemorrhagic vasculitis. The confluent character of hemorrhagic eruptions, their predominant localization along the posterior surface of the legs, the presence of perifollicular hemorrhages, pathognomonic for scurvy, gingivitis, complete absence of ascorbic acid consumption for several months, as well as concomitant alimentary dystrophy and multivitamin deficiency, allowed us to suspect scurvy in the patient. The rapid effect of vitamin C treatment has confirmed this diagnosis. Conclusions. The differential diagnosis of spontaneous hemorrhagic eruptions and purpura in patients with prolonged malnutrition should include scurvy, a disease almost forgotten in modern conditions.
Highlights
Scurvy is very rarely seen in modern conditions
We observed a case of scurvy that occurred as a result of prolonged malnutrition in a previously healthy 50-year-old man with low income
The disease was manifested by severe weakness, edema of the legs, gingivitis and spontaneous hemorrhagic eruptions on the legs, which were initially regarded as hemorrhagic vasculitis
Summary
Цинга очень редко диагностируется в современных условиях. Их преимущественная локализация по задней поверхности бедер и голеней, наличие перифолликулярных геморрагий, патогномоничных для цинги, гингивит, полное отсутствие в питании аскорбиновой кислоты в течение нескольких месяцев, а также сопутствующая алиментарная дистрофия и поливитаминная недостаточность позволили заподозрить у больного цингу. Быстрый эффект лечения витамином С подтвердил этот диагноз. Дифференциальный диагноз спонтанных геморрагических высыпаний и пурпуры у больных с длительным неполноценным питанием должен включать цингу — почти забытое в современных условиях заболевание. Ключевые слова: цинга, дефицит витамина С, геморрагические высыпания Для цитирования: Чипигина Н.С., Карпова Н.Ю., Большакова М.А., Калинина Т.Ю., Асхабова Э.Д., Юзашарова Л.М., Багманян С.Д., Бадалян К.А., Юцевич О.К. ЦИНГА — ЗАБЫТОЕ ЗАБОЛЕВАНИЕ ПОД МАСКОЙ ГЕМОРРАГИЧЕСКОГО ВАСКУЛИТА.
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