Details

Autor(en) / Beteiligte

• Eichstädt, D
• Lehnhoff, D
• Kopdag, H
• von Wichert, G

Titel

Exertional dyspnea, myalgia, petechiae of the lower extremities and pronounced gingivitis in a 64-year-old female patient

Ist Teil von

• Der Internist (Berlin), 2020-02, Vol.61 (2), p.213-216

Ort / Verlag

Germany

Erscheinungsjahr

2020

Quelle

MEDLINE

Beschreibungen/Notizen

• A female patient presented with exertional dyspnea, myalgia, a petechial rash of the lower extremities and pronounced gingivitis. The biochemical test results showed the presence of anemia. The patient had a known eating disorder and on questioning about eating habits admitted that she did not eat any fruit or vegetables. This led to the suspicion of a vitamin C deficiency, which was confirmed by high-pressure liquid chromatography. The patient was subsequently treated with 1000 mg ascorbic acid daily for 1 month whereby the clinical symptoms and anemia improved within a few weeks.