%0 Journal Article
%T Scorbut and purpuric hyperkeratotic skin lesions in the elderly: What relationship? A case report
%V 10
%N 4
%P 372-375
%U http://www.odermatol.com/issue-in-html/2019-4-15-scorbut/
%X Gingival bleeding and dental heaving during scurvy are the most reported in the literature. However nonspecific isolated purely cutaneous manifestations due to hypovitaminosis C are not uncommon. Their incidence increases with age related to decrease in microcirculation of the skin leading to trophic disorders observed in the skin extremities in the elderly. Here we report the case of an elderly with poly vascular disorders aged of 73 years old in whom we observed purpuric hyperkeratotic lesions on the extremities. The various paraclinical examinations and blood checks for different diagnostic hypotheses have helped to spread a disease of cholesterol emboli, systemic vasculitis and retain low vitamin C after dosing the ascorbic acid serum incidentally. The disappearance of these skin lesions after two weeks of oral vitamin C supplementation confirmed the diagnosis scorbut. The occurrence of mucocutaneous lesions in elderly with high risk of atherosclerosis and living in unfavorable socio-economic conditions must alert the clinician to look for low vitamin C and titrate the serum ascorbic acid.
%G en
%J Our Dermatology Online
%A Yves, Binan
%A Komenan, Kassi
%A N’guessan, Konan
%D 2019-10-03