Case report : uncommon cause of limp in the 21st century

Article Article scientifique Rapport de cas Case report : uncommon cause of limp in the 21st century eng 2022-08-01 2022 author Thiemann Stéphanie Department of Women, Children, and Adolescents, Service of General Pediatrics, Geneva University Hospitals, Geneva, Switzerland. 674049 author Cimorelli Valeria Department of Women, Children, and Adolescents, Service of General Pediatrics, Geneva University Hospitals, Geneva, Switzerland. 643142 author Bajwa Nadia Masood 0000-0002-1445-4594 Department of Women, Children, and Adolescents, Service of General Pediatrics, Geneva University Hospitals, Geneva, Switzerland.,Unit of Development and Research in Medical Education, University of Geneva Faculty of Medicine, Geneva, Switzerland. 784253 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) 968015 10.3389/fendo.2022.968015 35979442 1664-2392 PMC9377508 https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2022.968015/full Scurvy results from a deficiency of ascorbic acid. This disease first appeared in children during the 19th century with the emergence of new dietary habits; in particular, heating milk that leads to a loss of ascorbic acid. Even though scurvy has become a rare condition in western countries, many cases are still reported in pediatric patients, especially in those who lack proper nutrition due to neurological or psychiatric illnesses. Symptoms include bleeding and swollen gums, loosening of teeth, bone abnormalities, arthralgia, delayed wound healing, anemia, petechiae, and purpura. Bone lesions are mainly irregularities of long bones metaphyses. We report the case of a five-year-old boy who presented with arthralgia and limb deformation (genu valgum). The patient was investigated for vitamin deficiencies to exclude rickets. The radiologic investigations revealed metaphyseal signs compatible with scurvy. During the hospitalization, the patient was observed to have abnormal eating patterns and the scurvy was attributed to malnutrition. Although the occurrence of scurvy is rare, it remains essential to detect this disease in children at risk of developing vitamin deficiencies. Without targeted treatment, the complications of scurvy can be serious and potentially fatal. Ascorbic acid Children Limp Malnutrition Scurvy Vitamin C Weakness Anemia / etiology Arthralgia / complications Ascorbic Acid Child Child, Preschool Humans Male Nutritional Status Scurvy / complications Scurvy / diagnosis Dewey 610/370 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 48 Unité de développement et de recherche en éducation médicale 204 false 150 L'imagerie cérébrale 184 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 Frontiers in endocrinology 13 a076f304-c348-49ea-9771-e704ee067237 Article (Published version) Public Article-scientifique-from-europePmc.pdf 1081561 application/pdf CC BY-4.0 c994c8f65e655ecfabed58d93ab25d6c0a16b5ee08d1cf651afae049511d7754 a15dcc63-c465-4958-bb21-de8ac1ffc9cf Erratum Public fendo-14-1178917.pdf 211754 application/pdf CC BY-4.0 6aac569c5971d2798862651297c16ba3bffbd32ad0c9d19a4fdb4c8d00824233 Erratum in : Frontiers Production Office. Erratum: Case Report: Uncommon cause of limp in the 21st century. Front Endocrinol (Lausanne). 2023 Mar 16;14:1178917 10.3389/fendo.2023.1178917 37008905 openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Unité de développement et de recherche en éducation médicale

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Case report : uncommon cause of limp in the 21st century	Frontiers in endocrinology			2022	92	148

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Thiemann, Stéphanie