slot gacor slot gacor hari ini slot gacor 2025 demo slot pg slot gacor slot gacor
Scurvy with Musculoskeletal Pain in Indonesian Pediatric Patient: A Case Report | Muhammad | Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) skip to main content

Scurvy with Musculoskeletal Pain in Indonesian Pediatric Patient: A Case Report

*Hilmi Muhammad orcid scopus  -  Pediatric Sub-Division, Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia 2Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Meirizal Meirizal  -  Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Yudha Mathan Sakti  -  Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Aditya Fuad Robby Triangga  -  Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Zikrina Abiyanti Lanodiyu  -  Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Ginanjar Reza Putra  -  Resident of Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Yasser Yasser  -  Resident of Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia
Yuni Artha Prabowo Putro  -  Orthopaedic and Traumatology Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia, Indonesia

Citation Format:
Abstract

Background: Scurvy is a potentially fatal disease caused by a severe deficiency of vitamin C, which can manifest as a musculoskeletal problem. Early diagnosis and treatment of vitamin C deficiency are crucial to prevent severe symptoms. Unfortunately, vitamin C level evaluations in Indonesia are very limited due to the lack of laboratory facilities. As a result, patients with scurvy are often underdiagnosed and do not receive adequate management. Case Presentation: 5-year-old boy with musculoskeletal pain and inability to walk. Radiographic findings showed a pathognomonic line of Fränkel, Trümmerfeld zone, and Wimberger ring sign, with laboratory evaluation showing an anemia and vitamin D deficiency. We did not perform a laboratory examination for vitamin C due to a lack of test facilities but the patient was given oral 250 mg of vitamin C daily instead. The patient showed significant improvement in symptoms and laboratory results after three months of vitamin C supplementation. To summarize, that vitamin C deficiency should be considered among patients with related musculoskeletal manifestations supported by imaging results. 

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Untitled
Subject
Type Other
  Download (32KB)    Indexing metadata
Keywords: Bone Pain, Muscukoskeketal Pain, Pediatric, Scurvy, Vitamin C
Funding: Universitas Gajah Mada

Article Metrics:

  1. References
  2. Regehr J, Kriwiel M, Roth E, Ofei-Dodoo S. A case report of a modern-day scurvy. Kans J Med.2021;14. doi: 10.17161/kjm.vol1414609
  3. Lund RM, Becker ML, Shapiro S, Allison T, Harris JG. Scurvy presenting with limp and weakness: a case report. BMC Pediatr. 2019;19(1):228. doi: 10.1186/s12887-019-1605-5
  4. Ceglie G, Macchiarulo G, Marchili MR, et al. Scurvy: still a threat in the well-fed first world? Arch Dis Child. 2019;104(4):381-383. doi: 10.1136/archdischild-2018-315496
  5. Rowe S, Carr AC. Global Vitamin C Status and Prevalence of Deficiency: A Cause for Concern?. Nutrients. 2020;12(7):2008. Published 2020 Jul 6. doi: 10.3390/nu12072008
  6. Fain O. Musculoskeletal manifestations of scurvy. Joint Bone Spine. 2005;72(2):124-128. doi: 10.1016/j.jbspin.2004.01.007
  7. Alqanatish JT, Alqahtani F, Alsewairi WM, Al-kenaizan S. Childhood Scurvy: an unusual cause of refusal to walk in a child. Pediatr Rheumatol. 2015;13(1):23. doi: 10.1186/s12969-015-0020-1
  8. Miraj F, Abdullah A. Scurvy: Forgotten diagnosis, but still exist. Int J Surg Case Rep. 2020;68:263-266. doi: 10.1016/j.ijscr.2020.03.002
  9. Thiemann S, Cimorelli V, Bajwa NM. Case Report: Uncommon cause of limp in the 21st century. Front Endocrinol. 2022;13:968015. doi: 10.3389/fendo.2022.968015
  10. Trapani S, Rubino C, Indolfi G, Lionetti P. A Narrative Review on Pediatric Scurvy: The Last Twenty Years. Nutrients. 2022;14(3):684. Published 2022 Feb 6. doi: 10.3390/nu14030684
  11. Gallizzi R, Valenzise M, Passanisi S, Pajno GB, De Luca F, Zirilli G. Scurvy may occur even in children with no underlying risk factors: a case report. J Med Case Reports. 2020;14(1):18. doi: 10.1186/s13256-020-2341-z

Last update:

No citation recorded.

Last update:

No citation recorded.