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Scurvy Findings in a Child with Jacobsen Syndrome

A Case Report

Puddy, Alan C. MD1; Hughes, Jessica L. MD2; Joffe, Avrum L. MD3; Khanna, Paritosh C. MD4; Thornburg, Courtney D. MDMS5; Mubarak, Scott J. MD6

doi: 10.2106/JBJS.CC.18.00352
Case Reports

Case: We describe the first reported case of scurvy developing secondary to behavioral traits of Jacobsen syndrome. The diagnosis of scurvy was significantly delayed because bleeding symptoms were initially attributed to baseline thrombocytopenia and platelet dysfunction associated with Jacobsen syndrome and patient's medication. Following vitamin C supplementation, signs and symptoms of the patient's disease quickly resolved.

Conclusions: We aim to reinforce the need to consider nutritional deficiencies in patients with complex medical histories and behavioral issues, especially when presenting with new complaints.

1United States Air Force Medical Corps, San Antonio Military Medical Center, Fort Sam Houston, Texas

2Department of Orthopedic Surgery, Baylor Scott and White, Temple, Texas

3North Jersey Pediatric Orthopedics, Ridgewood, New Jersey

4Division of Radiology, Rady Children's Hospital-San Diego, San Diego, California

5Division of Hematology-Oncology, Rady Children's Hospital-San Diego, San Diego, California

6Division of Orthopedic Surgery, Rady Children's Hospital-San Diego, San Diego, California

E-mail address for S.J. Mubarak:

Investigation performed at Rady Children's Hospital, San Diego, California

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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