Scurvy in the Context of End-Stage Liver Disease

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Amiirah Aujnarain MSc
Michael Hackett CD CCPA
Kumanan Wilson MD MSc

scurvy, end-stage liver disease, alcoholic liver disease,


The authors present a case of scurvy in a 38-year-old woman with a history of alcohol abuse and end-stage liver disease. Their case demonstrates that nutritional deficiencies are a concern in patients affected with alcoholic liver disease. The history, symptoms, and treatment of scurvy are also discussed.
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1. Pimentel L. Scurvy: historical review and current diagnostic approach. Am J Emerg Med 2003;21:328–32.

2. Stewart CP, Cuthrie D. Lind’s Treatise on Scurvy. Edinburgh: Edinburgh University Press; 1953.

3. Cheung E, Mutahar R, Assefa F. An epidemic of scurvy in Afghanistan: assessment and response. Food Nutr Bull 2003;24:247–55.

4. Swanson AM, Hughey LC. Acute inpatient presentation of scurvy. Cutis 2010;86(4):205–7.

5. Maltos AL, Portari GV, Saldanha JC, et al. Scurvy in an alcoholic malnourished cirrhotic man with spontaneous bacterial peritonitis. Clinics 2012;67(4):405–7.

6. Hodges RE, Hood J, Canham JE, et al. Clinical manifestations of ascorbic acid deficiency in man. Am J Clin Nutr 1971;24:432–43.

7. Jacob RA, Sotoudeh G. Vitamin C function and status in chronic disease. Nutr Clin Care 2002;5(2):66–74.

8. Samonte VA, Sherman PM, Taylor GP, et al. Scurvy diagnosed in a pediatric liver transplant patient awaiting combined kidney and liver retransplantation. Pediatr Transplant 2008;12(3):363–7.

9. Francescone MA, Levitt J. Scurvy masquerading as leukocytoclastic vasculitis: a case report and review of the literature. Cutis 2005;76:261–6.

10. Olmedo JM, Yiannias JA, Windgassen EB, Gornet MK. Scurvy: a disease almost forgotten. Int J Dermatol 2006;45:909–13.

11. Faizallah R, Morris AI, Krasner N, Walker RI. Alcohol enhances vitamin C excretion in the urine. Alcohol 1986;21:81–4.

12. Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects. Am J Clin Nutr 1999;69:1086–107.

13. Leger D. Scurvy: reemergence of nutritional deficiencies. Can Fam Physician 2008;54(10):1403–6.

14. Hood J. Femoral neuropathy in scurvy. N Engl J Med 1969;281:1292–3.