Scurvy hidden behind neuropsychiatric symptoms
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Margherita Estienne • Marianna Bugiani • Alberto Bizzi • Tiziana Granata
- چاپ و سال / کشور: 2011
Description
Approaching an uncommon disease may result in diagnostic delay even in patients with typical clinical features. In this respect, diseases related to nutritional deficiencies may represent a diagnostic challenge. We describe a 2.5-year-old child with typical features of scurvy, who was referred for autistic-like behavior and severe muscle weakness and pain in lower limbs. Extensive investigations for non-nutrition-related disorders were first performed, including a muscle biopsy showing a selective type II fibers hypotrophy. Scurvy was eventually considered, after recalling the child’s peculiar dietary habits
Neurol Sci DOI 10.1007/s10072-011-0680-7 Received: 26 November 2010 / Accepted: 24 June 2011