Topics:

Scurvy: Easy Bruising and Bleeding Gums

Scurvy: Easy Bruising and Bleeding Gums

Survy secondary to vitamin C deficiency was the cause of bruising in this patient.

A 37-year-old man presents for evaluation of “easy bruising” and “bleeding gums.” At the time of medical consultation, the smell of ethanol was detected on his breath.

Key point: As noted, bruising is a sign/symptom to be taken seriously. In this case, the combination of swollen and friable gums, along with bruising and the distinct odor of ethanol in the middle of the morning, suggested that the patient abused alcohol. As such, he might well be subject to nutritional deficiencies. His vitamin C level was 0.004 mg/dL (about one hundredth of the expected level), confirming the suspected diagnosis of scurvy. Bruising is one sign of this disorder.

Treatment: While alcohol dependence was being addressed, the patient received oral vitamin C supplementation and a diet high in fresh fruit.

Note: It is rare to find signs and symptoms of an isolated deficiency, and this patient was also at high risk for pellagra and beri beri.

 
Loading comments...

By clicking Accept, you agree to become a member of the UBM Medica Community.