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Images of Memorable Cases: Case 69

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authorsEdited By: Frederick Moody

http://rup.rice.edu/memcases-button.jpg

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.

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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A lens is a custom view of the content in the repository. You can think of it as a fancy kind of list that will let you see content through the eyes of organizations and people you trust.

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