scurvy

SCURVY :

v Due to Vit. C deficiency

v Characterised by generalised hemorrhagic tendency.

v Most common in infants between 5 - 10 months

v When associated with Rickets : Barton's Disease

v Endochondral ossification ceases.



Clinical Features :

v Restless, Fibrile child

v Affected limb is swollen, tender, painful with muscular spasm (Pseudo Paralysis)

v Bluish spongy gums especially upper central incisor

v Skin ecchymosis, hematuria, hematemesis

v Epiphyseal fracture separation : At lower femur, upper tibia, upper humerus

Costochondral separation (Scorbotic rosary)

v Anaemia



X - Rays :

v Groud glass appearance

v Subperiosteal haemorrhage - ossification

A. White line of frankel : dense line between Epiphysis and Metaphysis

B. Scurvy Line : Dense line between Metaphysis

C. Wimberger's Line : Dense line within epiphysis

D. Pelkan Spur : A bone spur from lateral border of metaphysis