• Scurvy

    (Vitamin C Deficiency; Scorbutus)

    Definition

    Scurvy is a condition caused by an insufficient amount of vitamin C for a prolonged period of time. The condition causes weakness, impaired wound healing, anemia, and gingivitis. In children it can cause bone loss and fractures.Scurvy is rare in the United States and occurs most commonly in malnourished older adults and chronic alcoholics.
    Gingivitis
    Gingivitis
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    Causes

    Scurvy is typically caused by a diet lacking in fruits and vegetables or foods fortified with vitamin C.

    Risk Factors

    The following factors increase your chance of developing scurvy:

    Symptoms

    Symptoms include:
    • Weakness
    • Paleness
    • Sunken eyes
    • Tender, swollen gums and/or tooth loss
    • Muscular pain
    • Reopening of old wounds or sores
    • Loss of appetite
    • Bruising easily
    • Weight loss; inability to gain weight
    • Diarrhea
    • Increased heart rate
    • Fever
    • Irritability
    • Aching and swelling in joints
    • Shortness of breath
    • Fatigue

    Diagnosis

    Scurvy may be suspected during a physical exam, based on an analysis of symptoms and diet. Your doctor will order a blood test to measure the level of vitamin C in the blood to confirm the diagnosis. To look for any specific problems the scurvy, such as bone disease, in infants and children may have an x-ray done.

    Treatment

    The treatment for scurvy is simple and effective. To eliminate symptoms and make a full recovery, begin vitamin C replacement until symptoms resolve and then take recommended amounts of vitamin C. You can increase vitamin C levels by:
    • Eating a diet rich in citrus fruits, other fruits, and vegetables
    • Taking vitamin C supplements

    Prevention

    To help reduce your chances of getting scurvy, take the following steps:
    • Eat a healthy, balanced diet rich in fruits and vegetables.
    • Get a sufficient amount of vitamin C, through diet and/or supplements.

    RESOURCES

    Family Doctor—American Academy of Family Physicians http://familydoctor.org

    American Society for Nutrition http://www.nutrition.org

    CANADIAN RESOURCES

    Dietitians of Canada http://www.dietitians.ca

    Health Canada http://www.hc-sc.gc.ca

    References

    Vitamin C deficiency. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115249/Vitamin-C-deficiency. Updated April 27, 2010. Accessed September 27, 2016.

    Weinstein M, Babyn P, Zlotkin S. An orange a day keeps the doctor away: scurvy in the year 2000. Pediatrics. 2001 Sep;108(3):E55.

    Revision Information

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