A patient with scurvy may present with anemia.

The anemia may be mixed with other nutritional deficiencies:

(1) iron

(2) folate

(3) vitamin B12


Clinical cues to the diagnosis:

(1) history of or risk factors for disordered eating

(2) ecchymoses or petechiae

(3) rheumatologic complaints

(4) bleeding gums

(5) edema of the extremities

(6) conjunctival hemorrhages


The anemia may be microcytic, normocytic or macrocytic depending on concurrent nutritional deficiencies.

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