Scurvy in children with autistic spectrum disorder : not such a rarity

Abstract

Scurvy is an uncommon nutritional deficiency that results from low serum levels of vitamin C (ascorbic acid). Part of human history since ancient times, its incidence rapidly decreased following the discovery by Sir James Lind that citrus fruits can prevent it. Despite this scurvy still exists today within certain predisposed groups.

We report three cases of scurvy that presented within a short time frame to the Paediatric Department in Mater Dei Hospital (MDH), Malta. All three children were known to have autistic spectrum disorder (ASD) with restricted diets.

A high index of suspicion together with appropriate history and examination can lead to timely diagnosis of this disease. In children deemed at-risk of developing scurvy we recommend routine screening for low serum levels of vitamin C.