Scurvy in Philadelphia Woman, 37, Linked to Massage Gun Injury
A Philadelphia woman, 37, visited the ER with a painful, swollen, and bruised left knee after using a massage gun. Doctors initially suspected anemia due to iron deficiency, but further tests revealed a more unusual cause: severe vitamin C deficiency, also known as scurvy.
The patient's history of blood clots and a recent stroke complicated her condition. Doctors found no joint damage or blood clots in her knee, but they noticed signs of scurvy, including red spots, corkscrew hairs, and swollen gums. Tests confirmed her vitamin C level was undetectable. She was started on high-dose vitamin C supplements, and her condition improved dramatically within 48 hours.
Initially, doctors suspected anemia due to iron deficiency. Her iron levels were low, but stool tests and scopes were normal. Over the next six months, her blood counts rose, bruises faded, breathing improved, and she was able to restart her blood thinner safely. However, she returned with shortness of breath, lightheadedness, and persistent bruising. Blood tests showed low red blood cells and hemoglobin. Doctors then discovered her vitamin C deficiency.
The patient's vitamin C deficiency, or scurvy, was successfully treated with high-dose oral vitamin C supplements. Her condition improved rapidly, and she was able to manage her other health issues more effectively. This case serves as a reminder that while rare in developed countries, scurvy can still occur and should be considered in patients with unusual symptoms and a history of blood clots.
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