title: Now you see/C it.
abstract: Bleeding disorders are common. In addition to thinking about disorders relating to abnormal platelets or clotting factors, clinicians should consider disorders of vascular integrity in their differential diagnosis. We present a patient with atypical, spontaneous bleeding that was due to scurvy, an often overlooked cause. Clinicians should be aware of the risk factors for the development of scurvy, such as poor dietary intake, male gender, smoking, alcohol abuse, as well as its classic manifestations, including gingival bleeding, spontaneous bruising, corkscrew hairs, and poor wound healing, A heightened awareness may lead to earlier diagnosis and treatment.
authors.affiliation: a Yale University School of Medicine , New Haven , CT , USA.
authors.forename: Alexander E
authors.initials: AE
authors.lastname: Domingo
authors.affiliation: a Yale University School of Medicine , New Haven , CT , USA.|b VA Connecticut Health Care System , West Haven , CT , USA.
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Ruser
authors.affiliation: a Yale University School of Medicine , New Haven , CT , USA.|c Yale University Ringgold Standard Institution - Internal Medicine , New Haven , CT , USA.
authors.forename: Brittany
authors.initials: B
authors.lastname: Simone
authors.affiliation: a Yale University School of Medicine , New Haven , CT , USA.|b VA Connecticut Health Care System , West Haven , CT , USA.
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Federman
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D003937:Diagnosis, Differential; D004032:Diet; D006801:Humans; D008297:Male; D012307:Risk Factors; D012614:Scurvy / Q000175:diagnosis* / Q000453:epidemiology; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology
keywords: Scurvy; alcoholism; bleeding; hematoma; vitamin C