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November 1973

Scurvy in a 4-Year-Old Child

Author Affiliations

Aglaia Kyriakou Children's Hospital Athens, Greece

Am J Dis Child. 1973;126(5):712. doi:10.1001/archpedi.1973.02110190574025

To the Editor.—In view of the rarity of avitaminosis C at the present time,1 owing to improvement of socioeconomic conditions in most countries, we have considered it worthwhile to report a case of scurvy in a 4-year-old boy. The disease is very rare at this age, appearing usually in association with feeding difficulties, ie, in children with mental retardation.2

Report of a Case  A 4-year-old boy was admitted to the Aglaia Kyriakou Children's Hospital in March 1972 because of painful joint swellings.Progressive diminution of appetite and weight loss were evident several months before. Due to a behavioral problem, the child had become anorectic to several kinds of food, including, in particular, fruits, tomatoes, and green vegetables. His diet consisted, almost exclusively, of small quantities of fresh cow's milk and bread coated with olive oil or sugar powder.Twenty days before his admission to our department he