{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:17:25Z","timestamp":1784621845626,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,6,2]],"date-time":"2019-06-02T00:00:00Z","timestamp":1559433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Scurvy is a clinical syndrome, resulting from ascorbic acid deficiency. Prevalence of the condition is now extremely low in the Western population and its diagnosis can be challenging without a high index of suspicion. When cases do present, they are often misdiagnosed initially. Therefore, a thorough history, physical exam, and laboratory evaluation are key to showing this now rare but extremely well\u2010known disease. We report a case of scurvy manifesting as persistent non\u2010healing lower\u2010extremity ulcerations, initially mistaken for pyoderma gangrenosum. The patient responded to appropriate replacement therapy, but ulcers were slow to heal. As was the case in our patient, symptom reversal may require additional nutritional replacement. We encourage physicians to consider nutritional deficiencies in their differential diagnoses and highlight the incidence of malnutrition in the proper clinical setting to avoid diagnostic delay.<\/jats:p>","DOI":"10.1111\/iwj.13149","type":"journal-article","created":{"date-parts":[[2019,6,2]],"date-time":"2019-06-02T22:40:23Z","timestamp":1559515223000},"page":"1024-1028","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["End stage scurvy in the developed world: A diagnostic conundrum but not to be mistaken for pyoderma gangrenosum"],"prefix":"10.1111","volume":"16","author":[{"given":"Stephanie T.","family":"Le","sequence":"first","affiliation":[{"name":"Department of Dermatology University of California, Davis  Sacramento California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny Z.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California, Davis  Sacramento California"},{"name":"Albert Einstein College of Medicine  Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0158-7718","authenticated-orcid":false,"given":"Claire C.","family":"Alexanian","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California, Davis  Sacramento California"},{"name":"Georgetown University School of Medicine  Washington District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie Y.","family":"Johng","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Forum B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California, Davis  Sacramento 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