Magnetic resonance imaging appearance of scurvy with gelatinous bone marrow transformation
Scurvy is a lethal but treatable disease that is rare in industrialized countries. Caused by vitamin C deficiency, it is most prevalent in persons of low socioeconomic status and smokers. Low levels of circulating vitamin C result in poor collagen fiber formation that, in turn, leads to demineralize...
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| Published in: | Skeletal radiology Vol. 41; no. 3; pp. 357 - 360 |
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| Format: | Journal Article |
| Language: | English |
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01-03-2012
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| Abstract | Scurvy is a lethal but treatable disease that is rare in industrialized countries. Caused by vitamin C deficiency, it is most prevalent in persons of low socioeconomic status and smokers. Low levels of circulating vitamin C result in poor collagen fiber formation that, in turn, leads to demineralized bones, microfractures, and poor healing. Here we report a case of scurvy in a 5-year-old boy with normal radiographs in whom initial concern for leukemia based upon magnetic resonance imaging and clinical presentation led to a bone marrow biopsy revealing gelatinous transformation. |
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| AbstractList | Scurvy is a lethal but treatable disease that is rare in industrialized countries. Caused by vitamin C deficiency, it is most prevalent in persons of low socioeconomic status and smokers. Low levels of circulating vitamin C result in poor collagen fiber formation that, in turn, leads to demineralized bones, microfractures, and poor healing. Here we report a case of scurvy in a 5-year-old boy with normal radiographs in whom initial concern for leukemia based upon magnetic resonance imaging and clinical presentation led to a bone marrow biopsy revealing gelatinous transformation.[PUBLICATION ABSTRACT] Scurvy is a lethal but treatable disease that is rare in industrialized countries. Caused by vitamin C deficiency, it is most prevalent in persons of low socioeconomic status and smokers. Low levels of circulating vitamin C result in poor collagen fiber formation that, in turn, leads to demineralized bones, microfractures, and poor healing. Here we report a case of scurvy in a 5-year-old boy with normal radiographs in whom initial concern for leukemia based upon magnetic resonance imaging and clinical presentation led to a bone marrow biopsy revealing gelatinous transformation. |
| Audience | Academic |
| Author | Atkins, Kristen A. Druzgal, Colleen H. Brennan, Christopher M. Gaskin, Cree M. |
| Author_xml | – sequence: 1 givenname: Christopher M. surname: Brennan fullname: Brennan, Christopher M. organization: Department of Radiology and Medical Imaging, University of Virginia Health System – sequence: 2 givenname: Kristen A. surname: Atkins fullname: Atkins, Kristen A. organization: Department of Pathology, University of Virginia Health System – sequence: 3 givenname: Colleen H. surname: Druzgal fullname: Druzgal, Colleen H. organization: Department of Pediatrics, University of Virginia Health System – sequence: 4 givenname: Cree M. surname: Gaskin fullname: Gaskin, Cree M. email: CMG9S@hscmail.mcc.virginia.edu organization: Department of Radiology and Medical Imaging, University of Virginia Health System, Department of Orthopaedic Surgery, University of Virginia Health System |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22223127$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1136/adc.28.138.81 10.1148/radiol.2501071322 10.1016/j.jbspin.2004.01.007 10.1097/00000478-200001000-00007 10.1093/ije/dyl020 10.1259/0007-1285-35-418-683 10.3348/kjr.2007.8.5.443 10.1093/rheumatology/ken160 10.3945/ajcn.2008.27016 10.1093/ajcn/24.4.432 10.1148/18.6.1096 |
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| Keywords | Serous atrophy Magnetic resonance imaging Scurvy Malnutrition Vitamin C Gelatinous transformation |
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| References | Hodges, Hood, Canham, Sauberlich, Baker (CR4) 1971; 24 Laor, Jaramillo (CR3) 2009; 250 Pemberton (CR5) 2006; 35 Karthiga, Dubey, Garber, Watts (CR10) 2008; 47 Brailsford (CR1) 1953; 28 McCann (CR2) 1962; 35 Bohm (CR11) 2000; 24 Schleicher, Carroll, Ford, Lacher (CR6) 2009; 90 Kaplan, Helms, Dussault, Anderson, Major (CR12) 2001 Kato (CR8) 1932; 18 Choi, Park, Kwon (CR9) 2007; 8 Fain (CR7) 2005; 72 13932041 - Br J Radiol. 1962 Oct;35:683-6 19092089 - Radiology. 2009 Jan;250(1):28-38 15797491 - Joint Bone Spine. 2005 Mar;72(2):124-8 18499718 - Rheumatology (Oxford). 2008 Jul;47(7):1109 16510534 - Int J Epidemiol. 2006 Jun;35(3):556-8 10632488 - Am J Surg Pathol. 2000 Jan;24(1):56-65 19675106 - Am J Clin Nutr. 2009 Nov;90(5):1252-63 13041280 - Arch Dis Child. 1953 Apr;28(138):81-6 17923788 - Korean J Radiol. 2007 Sep-Oct;8(5):443-7 5090631 - Am J Clin Nutr. 1971 Apr;24(4):432-43 J Pemberton (1350_CR5) 2006; 35 S Karthiga (1350_CR10) 2008; 47 K Kato (1350_CR8) 1932; 18 RL Schleicher (1350_CR6) 2009; 90 P Kaplan (1350_CR12) 2001 RE Hodges (1350_CR4) 1971; 24 O Fain (1350_CR7) 2005; 72 SW Choi (1350_CR9) 2007; 8 JF Brailsford (1350_CR1) 1953; 28 T Laor (1350_CR3) 2009; 250 J Bohm (1350_CR11) 2000; 24 P McCann (1350_CR2) 1962; 35 |
| References_xml | – volume: 28 start-page: 81 issue: 138 year: 1953 end-page: 86 ident: CR1 article-title: Some radiographic manifestations of early scurvy publication-title: Arch Dis Child doi: 10.1136/adc.28.138.81 contributor: fullname: Brailsford – volume: 250 start-page: 28 issue: 1 year: 2009 end-page: 38 ident: CR3 article-title: MR imaging insights into skeletal maturation: what is normal? publication-title: Radiology doi: 10.1148/radiol.2501071322 contributor: fullname: Jaramillo – volume: 24 start-page: 432 issue: 4 year: 1971 end-page: 443 ident: CR4 article-title: Clinical manifestations of ascorbic acid deficiency in man publication-title: Am J Clin Nutr contributor: fullname: Baker – volume: 72 start-page: 124 issue: 2 year: 2005 end-page: 128 ident: CR7 article-title: Musculoskeletal manifestations of scurvy publication-title: Joint Bone Spine doi: 10.1016/j.jbspin.2004.01.007 contributor: fullname: Fain – volume: 24 start-page: 56 issue: 1 year: 2000 end-page: 65 ident: CR11 article-title: Gelatinous transformation of the bone marrow: the spectrum of underlying diseases publication-title: Am J Surg Pathol doi: 10.1097/00000478-200001000-00007 contributor: fullname: Bohm – year: 2001 ident: CR12 publication-title: Musculoskeletal MRI contributor: fullname: Major – volume: 35 start-page: 556 issue: 3 year: 2006 end-page: 558 ident: CR5 article-title: Medical experiments carried out in Sheffield on conscientious objectors to military service during the 1939–45 war publication-title: Int J Epidemiol doi: 10.1093/ije/dyl020 contributor: fullname: Pemberton – volume: 35 start-page: 683 year: 1962 end-page: 686 ident: CR2 article-title: The incidence and value of radiological signs in scurvy publication-title: Br J Radiol doi: 10.1259/0007-1285-35-418-683 contributor: fullname: McCann – volume: 8 start-page: 443 issue: 5 year: 2007 end-page: 447 ident: CR9 article-title: MR imaging in a child with scurvy: a case report publication-title: Korean J Radiol doi: 10.3348/kjr.2007.8.5.443 contributor: fullname: Kwon – volume: 18 start-page: 15 year: 1932 ident: CR8 article-title: A critique of the roentgen signs of infantile scurvy with report of thirteen cases publication-title: Radiology contributor: fullname: Kato – volume: 47 start-page: 1109 issue: 7 year: 2008 ident: CR10 article-title: Scurvy: MRI appearances publication-title: Rheumatology (Oxford) doi: 10.1093/rheumatology/ken160 contributor: fullname: Watts – volume: 90 start-page: 1252 issue: 5 year: 2009 end-page: 1263 ident: CR6 article-title: Serum vitamin C and the prevalence of vitamin C deficiency in the United States: 2003–2004 National Health and Nutrition Examination Survey (NHANES) publication-title: Am J Clin Nutr doi: 10.3945/ajcn.2008.27016 contributor: fullname: Lacher – volume: 8 start-page: 443 issue: 5 year: 2007 ident: 1350_CR9 publication-title: Korean J Radiol doi: 10.3348/kjr.2007.8.5.443 contributor: fullname: SW Choi – volume: 28 start-page: 81 issue: 138 year: 1953 ident: 1350_CR1 publication-title: Arch Dis Child doi: 10.1136/adc.28.138.81 contributor: fullname: JF Brailsford – volume: 24 start-page: 56 issue: 1 year: 2000 ident: 1350_CR11 publication-title: Am J Surg Pathol doi: 10.1097/00000478-200001000-00007 contributor: fullname: J Bohm – volume: 24 start-page: 432 issue: 4 year: 1971 ident: 1350_CR4 publication-title: Am J Clin Nutr doi: 10.1093/ajcn/24.4.432 contributor: fullname: RE Hodges – volume: 90 start-page: 1252 issue: 5 year: 2009 ident: 1350_CR6 publication-title: Am J Clin Nutr doi: 10.3945/ajcn.2008.27016 contributor: fullname: RL Schleicher – volume: 250 start-page: 28 issue: 1 year: 2009 ident: 1350_CR3 publication-title: Radiology doi: 10.1148/radiol.2501071322 contributor: fullname: T Laor – volume: 72 start-page: 124 issue: 2 year: 2005 ident: 1350_CR7 publication-title: Joint Bone Spine doi: 10.1016/j.jbspin.2004.01.007 contributor: fullname: O Fain – volume: 18 start-page: 15 year: 1932 ident: 1350_CR8 publication-title: Radiology doi: 10.1148/18.6.1096 contributor: fullname: K Kato – volume-title: Musculoskeletal MRI year: 2001 ident: 1350_CR12 contributor: fullname: P Kaplan – volume: 35 start-page: 683 year: 1962 ident: 1350_CR2 publication-title: Br J Radiol doi: 10.1259/0007-1285-35-418-683 contributor: fullname: P McCann – volume: 35 start-page: 556 issue: 3 year: 2006 ident: 1350_CR5 publication-title: Int J Epidemiol doi: 10.1093/ije/dyl020 contributor: fullname: J Pemberton – volume: 47 start-page: 1109 issue: 7 year: 2008 ident: 1350_CR10 publication-title: Rheumatology (Oxford) doi: 10.1093/rheumatology/ken160 contributor: fullname: S Karthiga |
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| Snippet | Scurvy is a lethal but treatable disease that is rare in industrialized countries. Caused by vitamin C deficiency, it is most prevalent in persons of low... |
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| SubjectTerms | Bone Marrow Diseases - etiology Bone Marrow Diseases - pathology Case Report Child, Preschool Diagnosis, Differential Humans Imaging Leukemia Magnetic Resonance Imaging Male Medical imaging equipment Medicine Medicine & Public Health Nuclear Medicine Orthopedics Pathology Radiology Scurvy Scurvy - complications Scurvy - pathology |
| Title | Magnetic resonance imaging appearance of scurvy with gelatinous bone marrow transformation |
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