Journal
PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
Volume -, Issue -, Pages -Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/20469047.2021.1901406
Keywords
Pulmonary hypertension; vitamin C deficiency; iron deficiency; right-sided heart failure; autism spectrum disorder
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Scurvy, a condition resulting from vitamin C deficiency, typically presents with dermatological issues and tooth loss, but cardiac symptoms can also occur. Symptoms of scurvy can rapidly improve with vitamin C supplementation.
Scurvy, a condition caused by vitamin C deficiency, is rare, especially in high-income countries. Symptoms of scurvy are typically characterised by dermatological disorders such as poor wound healing and tooth loss, but there is not usually cardiac involvement. A case of reversible pulmonary hypertension and right-sided heart failure owing to scurvy in a 7-year-old boy with autism spectrum disorder is reported. He had a very restricted diet and presented with polyarthralgia, gingival hyperplasia with ecchymosis, and fatigue. His condition, including pulmonary hypertension and right-sided heart failure, completely resolved with vitamin C supplementation. Paediatricians should have a high index of suspicion for scurvy in children with nutritional selectivity and be aware that it can manifest with cardiac symptoms. Scurvy may be life-threatening if not treated, but the symptoms can improve rapidly with vitamin C supplementation.
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