Scurvy: an unusual cause of anemia.
نویسندگان
چکیده
Nutritional deficiencies are a common cause of anemia. We describe a case of a schizophrenic patient with a rapidly declining hematocrit. The patient was a long-term inpatient at a psychiatric hospital. He was brought to the emergency department with acute anemia initially thought to be secondary to gastrointestinal bleeding. Other causes for his anemia were investigated when gastrointestinal bleeding was ruled out. A dietary history showed that the patient’s diet consisted entirely of bread, cheese, and water. The patient was transfused and given oral vitamin C. Within 48 hours his hematocrit increased from 15.8% to 28%. The patient was transferred back to the psychiatric hospital, where he continued to improve on oral vitamin C. At a follow-up visit after discharge, he had a hematocrit of 41% and no signs of additional bleeding. The diagnosis of scurvy can often be overlooked because it is rarely encountered in present-day society. A nutritional history is important, especially in the elderly, institutionalized, eating-disordered, or psychiatric patient.
منابع مشابه
Megaloblastic anaemia associated with adult scurvy.
Nowadays scurvy is fortunately rare. Cases are still found among the inmates of common lodging houses and those living alone, where age, decrepitude, or apathy may have led to an inadequate dietary intake. Rigid dieting as in peptic ulcer' may be an unusual cause. While the blood picture may show little change in the milder cases, anaemia of variable degree occurs in most adults with scurvy. It...
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عنوان ژورنال:
- The Journal of the American Board of Family Practice
دوره 14 4 شماره
صفحات -
تاریخ انتشار 2001