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Images of Memorable Cases: Case 69

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

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Case_69-pres1-1.jpg Case_69-pres1-2.jpg

This 30-year-old homeless man had swollen, erythematous gums (left), scattered perifollicular hemorrhages, and extensive ecchymoses over his left leg (right). His hematocrit value was low, but his platelet and leukocyte values were normal.

69. Scurvy

The triad of perifollicular hemorrhages, extensive ecchymoses, and hypertrophied, discolored gums is diagnostic of scurvy. This patient’s plasma and leukocyte ascorbic acid concentrations were low. With proper diet and Vitamin C supplementation, his anemia and abnormal physical findings promptly resolved.

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