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Ascorbic acid deficiency, or scurvy, is a serious multisystem illness with characteristic dermatological manifestations. In an era of food insecurity, scurvy remains a problem in marginalised populations, and is important for clinicians to be able to identify. Fortunately, with appropriate vitamin replacement, scurvy is readily treated. We describe a case of a man with unusual dietary habits leading to classic cutaneous manifestations of scurvy, exemplifying the typical clinical findings of this treatable disease.
A 38-year-old Caucasian man with rheumatoid arthritis and schizophrenia presented to the emergency department with 3 weeks of progressively worsening rash, malaise and fatigue. He had no prior dermatological diagnoses and was taking no medications. For the past 6 months, due to self-diagnosed gluten insensitivity, …