In modern society, scurvy is well known in its historical perspective rather than clinical relevance. Scurvy is classically thought to manifest with signs of ‘bleeding painful gums’ in the undernourished. Little is known regarding its ability to mimic a wide range of rheumatological, orthopaedic, neurological and haematological illnesses. Due to the rarity of its occurrence, there is a poor understanding among present-day clinicians, and so scurvy can easily deceive the uninitiated. We report a school-aged boy with normal neurodevelopment who presented with lower limb pain and difficulty in walking. He was seen by multiple specialist doctors before the clinical diagnosis of scurvy was made by a general paediatrician. Investigations showed that this child had X-ray changes typical of scurvy with low serum ascorbic acid levels. On supplementation with vitamin C, he showed dramatic improvement in symptoms and gradually achieved complete recovery.

中文翻译：

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儿童坏血病：沉默的伪装者

在现代社会中，坏血病以其历史观点而非临床相关性而闻名。坏血病通常被认为会在营养不良的人群中表现出“牙龈疼痛出血”的迹象。关于其模拟各种风湿病、骨科、神经和血液疾病的能力知之甚少。由于其发生的罕见，现在的临床医生缺乏了解，因此坏血病很容易欺骗外行。我们报告了一名神经发育正常的学龄男孩，他出现下肢疼痛和行走困难。在普通儿科医生做出坏血病的临床诊断之前，他曾被多名专科医生看过。调查表明，这个孩子的 X 射线变化是典型的坏血病，血清抗坏血酸水平低。