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19 July 2023: Articles

Unusual Presentation of Pediatric Scurvy: A Necrotic Gastrostomy Tube Site in a 14-Year-Old Boy

Unusual clinical course, Challenging differential diagnosis, Rare disease

Nicholas R. Zessis A* , Sarah W. Peters B , Jonathan D. Samet C , Simon Parzen-Johnson B , Laura T. Russo B , Waheeda Samady A , Rebecca Stephen A

DOI: 10.12659/AJCR.940770

Am J Case Rep 2023; 24:e940770

Table 2. Diet history.

MealFood portion
Two waffles with syrup and butter, prepackaged sausage patty, and 0.5 can of PediaSure
One cup of Kraft macaroni and cheese and 12 ounces of soda
One cup of Kraft macaroni and cheese, or 1 package of Ramen noodles, or one tilapia filet, with water
Using MetabolicPro software (Genetic Metabolic Dietitians International, Hillsborough, North Carolina, United States of America, 2021), this patient meets 66% or less of Dietary Recommended Intake (DRI) for age for vitamin A, vitamin C, vitamin D, vitamin E, vitamin K, thiamin, riboflavin, niacin, folate, calcium, copper, iron, magnesium, manganese, molybdenum, phosphorus, selenium, zinc, potassium, and iodine.
* Vitamin C content is 15% DRI (or 11 mg).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923