{"pk":511,"title":"Scurvy: Dietary Discretion in a Developed Country","subtitle":null,"abstract":"Although the causes have changed, scurvy (vitamin C deficiency) is still diagnosed in developed countries. We report a case of an 18-year-old female who presented to our emergency department with thrombocytopenia, sinus tachycardia, hypotension, fatigue, gingival hyperplasia, knee effusion, petechiae and ecchymosis in lower extremities. The differential diagnosis included hematologic abnormalities, infectious etiologies, vasculitis and vitamin deficiency. A brief dietary history was performed revealing poor fruit and vegetable intake, thus increasing our suspicion for vitamin C deficiency. This experience illustrates the importance of a dietary history and reminds us to keep scurvy in the differential diagnosis.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2f23s7q7","frozenauthors":[{"first_name":"Megan","middle_name":"E.","last_name":"Perry","name_suffix":"","institution":"Wake Forest School of Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Nathan","middle_name":"","last_name":"Page","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"David","middle_name":"E.","last_name":"Manthey","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Joshua","middle_name":"M.","last_name":"Zavitz","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"}],"date_submitted":"2018-03-14T11:30:27-04:00","date_accepted":"2018-03-14T11:30:27-04:00","date_published":"2018-03-14T15:11:55-04:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/511/galley/274/download/"}]}