title: Scurvy in pediatric age group - A disease often forgotten?
abstract: Scurvy is caused by prolonged severe dietary deficiency of vitamin C. Being rare as compared to other nutritional deficiencies, it is seldom suspected and this frequently leads to delayed recognition of this disorder. Children with abnormal dietary habits, mental illness or physical disabilities are prone to develop this disease. The disease spectrum of scurvy is quite varied and includes dermatological, dental, bone and systemic manifestations. Subperiosteal hematoma, ring epiphysis, metaphyseal white line and rarefaction zone along with epiphyseal slips are common radiological findings. High index of suspicion, detailed history and bilateral limb radiographs aids physician in diagnosing this eternal masquerader. We searched Pubmed for recent literature (2009-2014) with search terms "scurvy" "vitamin C deficiency" "ascorbic acid deficiency" "scurvy and children" "scurvy and pediatric age group". There were a total of 36 articles relevant to pediatric scurvy in children (7 reviews and 29 case reports) which were retrieved. The review briefly recapitulates the role of vitamin C, the various disease manifestations and the treatment of scurvy to create awareness of the disease which still is reported from our country, although sporadically. The recent advances related to scurvy and its management in pediatric age group are also incorporated.
authors.affiliation: Specialist and Head, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 31, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Senior Resident, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 31, India.
authors.forename: Abbas
authors.initials: A
authors.lastname: Shaharyar
authors.affiliation: Senior Resident, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 31, India.
authors.forename: Anubrat
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Senior Resident, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 31, India.
authors.forename: Mohd Shafi
authors.initials: MS
authors.lastname: Bhat
authors.affiliation: Senior Resident, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalya, Geeta Colony, Delhi 110031, India.
authors.forename: Madhusudan
authors.initials: M
authors.lastname: Mishra
keywords: Ascorbic acid; Children; Pediatric age group; Scurvy; Vitamin C