Scurvy due to restrictive diet in a child with autism spectrum disorder: case report

Arch Argent Pediatr. 2018 Oct 1;116(5):e684-e687. doi: 10.5546/aap.2018.eng.e684.
[Article in En, Spanish]

Abstract

Scurvy is a very uncommon entity in pediatric population. Some case reports have been published in infants fed with boiled milk, in patients with iron overload secondary to hematological diseases and in children with food restrictions secondary to neurodevelopmental disorders. We report a case of a 4-year-old male patient with a diagnosis of autism spectrum disorder, which developed scurvy secondary to a long-term selective eating habit without fruit or vegetable intake. The objective of this case report is to announce the pediatrician and other professionals dedicated to primary health care about scurvy as a potential consequence of restrictive diets in children with autism spectrum disorders as well as the importance of dietary history in sick patients to prevent associated micronutrient deficiencies.

Actualmente, el escorbuto es una entidad infrecuente en pediatría. Se han publicado reportes de casos que describen la enfermedad en lactantes alimentados con leche hervida, en pacientes con sobrecarga de hierro por enfermedades hematológicas y en niños con restricciones alimentarias por trastornos del neurodesarrollo. Se reporta el caso de un paciente masculino de 4 años con diagnóstico de trastorno del espectro autista que desarrolló la enfermedad por un hábito alimentario selectivo de larga evolución, sin ingesta de frutas ni verduras. La importancia del reporte radica en informar al pediatra y a otros profesionales dedicados a la atención primaria de salud acerca del desarrollo de escorbuto como potencial consecuencia de las dietas restrictivas en niños con trastornos del neurodesarrollo y de la trascendencia de la anamnesis alimentaria en pacientes con patología para evitar enfermedades asociadas a micronutrientes.

Keywords: Ascorbic add; Autism spectrum disorder; Feeding and Eating Disorders; Nutritional Deficiency; Scurvy.

Publication types

  • Case Reports

MeSH terms

  • Autism Spectrum Disorder / complications
  • Autism Spectrum Disorder / psychology*
  • Child Nutrition Disorders / complications*
  • Child Nutrition Disorders / etiology
  • Child, Preschool
  • Feeding Behavior*
  • Humans
  • Male
  • Scurvy / diagnosis*
  • Scurvy / etiology