A seaworthy nautical tale and a pictured rash

[摘要] I have correctly diagnosed scurvy several times, missed the diagnosis I do not know how many times, and never treated a patient who had it. This sounds like the beginning of a bad riddle, to which the answer is convoluted. Scurvy, a mimic of vasculitic purpura (pseudovasculitis), has been presented to me at “stump the chump” rounds, although I’ve never diagnosed or treated it in a patient in front of me, and I’m sure over the years I’ve missed diagnosing it in patients with early disease caused by chronic malabsorption, unrecognized alcoholism, or voluntary or imposed dietary restrictions.

[学科分类] 卫生学