Uncommon Scurvy Manifestation: Solitary Skin Lesion in an Alcoholic Case

Cureus. 2024 Apr 5;16(4):e57652. doi: 10.7759/cureus.57652. eCollection 2024 Apr.

Abstract

Scurvy, characterized by vitamin C deficiency, typically manifests with various symptoms, most commonly skin lesions. However, the presentation of a solitary skin lesion is considered atypical. An elderly patient with a history of heavy alcohol consumption presented with a small skin lesion that developed rapidly into a solitary open wound without any preceding trauma. Laboratory analysis revealed severe vitamin C deficiency (<5 μmol/L). The patient showed significant improvement following high-dose vitamin C replacement therapy. This case underscores the potential for scurvy to present with a solitary lower body wound devoid of typical symptoms. It highlights the importance of prompt consideration of vitamin C replacement therapy, particularly in high-risk groups such as alcoholics, by healthcare providers.

Keywords: alcoholic; high-risk group; solitary skin lesion; uncommon scurvy manifestation; vitamin c deficiency.

Publication types

  • Case Reports