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Bifrontal Epidural Hemorrhage Secondary to Scurvy in a 10-Year-Old Boy
Clinical Pediatrics ( IF 1.0 ) Pub Date : 2022-08-17 , DOI: 10.1177/00099228221103975
Neema Patel 1 , Susan Bessler 1 , James Howard 1 , Ronald Cohen 1 , Bella Doshi 1
Affiliation  

Scurvy, caused by the prolonged deficiency of vitamin C (ascorbic acid), was once a malady predominantly associated with sailors in the 1600s and 1700s. However, the National Health and Nutrition Examination Survey in 2003-2004 found the overall prevalence of vitamin C deficiency in the United States to be 7.1%, suggesting that this is a more significant contributor to medical illness today than previously recognized.1 While in the pediatric population the prevalence is <2% in 6- to 11-year-old children and <4% in adolescents, its frequency is increased in children/adolescents with autism spectrum disorder, many of whom manifest food selectivity and have restricted diets.1 The relative rarity often leads to misdiagnosis or delayed diagnosis of scurvy and its complications. In this case, we report a unique presentation of scurvy in a 10-year-old boy with unilateral leg pain and bifrontal epidural hemorrhages.

中文翻译:

10 岁男孩继发于坏血病的双额硬膜外出血

由长期缺乏维生素 C(抗坏血酸)引起的坏血病曾是 1600 年代和 1700 年代主要与水手有关的疾病。然而,2003 年至 2004 年的全国健康和营养检查调查发现,美国维生素 C 缺乏症的总体患病率为 7.1%,表明这是导致当今医学疾病的一个比以前认识到的更重要的因素。1虽然在儿科人群中,6 至 11 岁儿童的患病率 <2%,青少年的患病率 <4%,但患有自闭症谱系障碍的儿童/青少年的患病率增加,其中许多人表现出食物选择性并且有限制饮食。1个相对罕见常常导致坏血病及其并发症的误诊或延误诊断。在本病例中,我们报告了一名 10 岁男孩的独特坏血病表现,伴有单侧腿痛和双额硬膜外出血。
更新日期:2022-08-18
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