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.
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: email@example.com
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 (http://links.lww.com/JBJSCC/A845).