{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:54:28Z","timestamp":1780077268529,"version":"3.54.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,2,8]]},"abstract":"<jats:p>Scurvy is a nutritional disease caused by ascorbic acid deficiency and is potentially fatal. It was originally described in the 18th century by James Lind and associated with long sea voyages and insufficient citrus consumption. Its prevalence has declined markedly over the years but has still been described sporadically in certain countries. A 22-year-old woman with an anxiety disorder and anorexia nervosa, recent pregnancy and ongoing breast feeding, presented with a 10-day history of spontaneous haematomas in the lower limbs, gingivorrhagia and fatigue. The examination was remarkable for signs of minor bleeding without haemodynamic compromise, gonalgia and pale skin. Work-up studies revealed the presence of anaemia. Direct anamnesis identified a diet based solely of tea and carbohydrates due to distorted body image. With the working diagnosis of scurvy, nutritional support and oral vitamin C supplementation was initiated. Her symptoms and anaemia resolved in 30\u2009days and the diagnosis was confirmed biochemically.<\/jats:p>","DOI":"10.1136\/bcr-2017-223686","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T08:10:13Z","timestamp":1522397413000},"page":"bcr-2017-223686","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Adult scurvy associated with psychiatric disorders and breast feeding"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1512-6047","authenticated-orcid":false,"given":"Stefania","family":"Urue\u00f1a-Palacio","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina"},{"name":"Department of Internal Medicine, Hospital Italiano de San Justo Agust\u00edn Rocca, San Justo, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno L.","family":"Ferreyro","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina"},{"name":"Department of Internal Medicine, Hospital Italiano de San Justo Agust\u00edn Rocca, San Justo, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas G.","family":"Fern\u00e1ndez-Otero","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina"},{"name":"Department of Internal Medicine, Hospital Italiano de San Justo Agust\u00edn Rocca, San Justo, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo D.","family":"Calo","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina"},{"name":"Department of Intensive Care, Hospital Italiano de San Justo Agust\u00edn Rocca, San Justo, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.1","unstructured":"Carpenter KJ . The history of scurvy and vitamin Cambridge. New York, NY: University Press, 1986:158\u201372."},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980008002401"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.3","unstructured":"Ministerio de Salud de la Naci\u00f3n. Nutrici\u00f3n y Embarazo. Recomendaciones en Nutrici\u00f3n para los equipos de salud: Direcci\u00f3n Nacional de Maternidad e Infancia. Buenos Aires: Ministerio de Salud, 2012."},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.4","unstructured":"Elisa ZM , Alicia R , Paula P , et al . Situaci\u00f3n alimentaria nutricional de las embarazadas y madres en periodo de lactancia de Argentina. 2016;34:33\u201340."},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198604033141407"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.6","unstructured":"McGraw-Hill. Harrison\u2019s principles of internal medicine. 16th edn. New York, NY: McGraw-Hill, 2004:406\u20137."},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(99)70244-6"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.8","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(08)61410-5","article-title":"Stranded in San Francisco","volume":"372","author":"Dey","year":"2008","journal-title":"Lancet"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.9","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.080505"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.10","doi-asserted-by":"crossref","first-page":"e246","DOI":"10.1016\/j.jaad.2013.04.051","article-title":"A disease of the present: scurvy in \"well-nourished\" patients","volume":"69","author":"Al-Dabagh","year":"2013","journal-title":"J Am Acad Dermatol"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.11","doi-asserted-by":"publisher","DOI":"10.1177\/0115426507022004445"},{"key":"2025082707052012000_2018.mar29_2.bcr-2017-223686.12","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0577-1"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:05:31Z","timestamp":1756303531000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,30]]},"references-count":12,"alternative-id":["10.1136\/bcr-2017-223686"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223686","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,30]]}}}