Scurvy: Vitamin C Deficiency, Symptoms & Treatment

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Collegedunia Team

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Scurvy occurs due to Vitamin C deficiency and Ascorbic Acid deficiency in the human body. The structure of collagen gets imbalanced and the integrity and the bound of the tissue also gets disturbed due to the lack of Vitamin C in the human body. The incorporation of ascorbic acid with enzymes results in collagen. This reaction generates hydroxyproline which stabilizes the structure of collagen. If the deficiency of Vitamin C or Ascorbic acid continues for more than a month, then the symptoms of scurvy will show up.

Keywords: Scurvy, Vitamin C, Ascorbic Acid, Illness, Malnutrition, Collagen.


Who can suffer from Scurvy? 

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People who are malnourished for more than a certain period of time can end up having scurvy. Institutionalized patients, chronic alcohol abuse, chronic illness are some severely malnourished situations that can attract this disease. The old people (above 65 years) or the people who are allergic to Vitamin C or have the dietary restrictions of intaking Vitamin C supplements and foods can also end up having scurvy. People with higher alcohol consumption, diabetes, inflammatory bowel disease, aids, lactose intolerant, pregnant women, and infants can also suffer from scurvy.

Scurvy Disease

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Symptoms of Scurvy

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Vitamin C plays a very important role in the human body. It results in the production, repair, and regeneration of blood, bone marrow, and several types of tissues available in our body. The symptoms of scurvy can appear within one to three months of the disease. Vitamin C also prevents various heart diseases and cancerous symptoms. Getting scurvy symptoms is not good for human health because if the same is not treated within the specified time then it can result in some serious kind of disease. 

Symptoms of Scurvy

The following symptoms can take place.

  • Dental issues like gingivitis, bleeding gums, receding gums, dental caries.
  • Connective tissue symptoms such as ecchymoses, petechiae, hemolytic anemia.
  • Integumentary and Rheumatological symptoms such as impaired wound healing, follicle hyperkeratosis, coiled hairs, joint pain, perifollicular hemorrhage, Sjogren syndrome.
  • Further systematic symptoms such as depression, fatigue, weakness, anorexia, neuropathy, hypotension.
  • Weakness, weight loss, appetite loss are some of the early symptoms that should not be avoided.
  • Some severe symptoms such as anemia, exhaustion, just being, blurred vision, sensitivity to light, shortness of breath coma, gastrointestinal bleeding, small red spots on the body.

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Stages of Scurvy Disease 

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  1. Early Stage- If one is having simple fatigue, lethargy, and simple marks on their body, it means they are in the early stage of scurvy disease. These symptoms will appear within one to three months of the disease. The same can be easily treated at home simply by intaking 70 to 90MG of vitamin C per day along with sufficient vitamin C enriched food. Gradually the symptoms like anemia, bone pain, bruising, gum diseases, mood changes, and depression will appear by the end of three months if the same is not treated.
  1. Mid-stage- Perifollicular Hemorrhages are quite common at the mid-stage along with certain bruising. Hydrostatic pressure is also felt at this stage. This is the time when doctors should be consulted and prescribed medicines should be preferred.

Mid Stage of Scurvy

  1. Later Stage- This is where scurvy can become very serious and can become a threat to life. If the later stage is reached then Scurvy can also transform into serious jaundice, hemolysis, acute bleeding, convulsions, neuropathy, and even death.

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Diagnosis of Scurvy 

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If any of the above symptoms take place then one must diagnose first and take necessary precautions for the same. The possible diagnosis can be Low plasma and leukocyte Vitamin C levels.


Treatment of Scurvy 

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If the result of the above diagnosis is positive, one can opt for the following treatments:

  • Vitamin C supplementation- For children, it can be 100mg TID for 1 week and adults 300 to 1000mg daily for 1 month along with sufficient Vitamin C rich food. By intaking such, the symptoms like fever, pain, and fatigue can disappear in 24 to 48 hours but the other symptoms will take around 1 to 3 months to recover. Otherwise, other modes of prescribed treatments should be adopted.

Vitamin C food

  • Diet- Apart from medicines a few dietary supplements can be fruits such as citrus fruit, tomatoes, strawberries. Vegetables like potatoes, Brussel sprouts, broccoli, cauliflower, cabbage, and spinach. The effects of intaking such dietary supplements can reduce the symptoms in 3 months.
  • If the supplements and the diet are followed for two to three months, chances of recovering increases.

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Things to Remember

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  • Scurvy occurs due to Vitamin C deficiency and Ascorbic Acid deficiency in the human body. 
  • Symptoms like anemia, bone pain, bruising, gum diseases, mood changes, and depression are common symptoms of Scurvy.
  • Vitamin C intake should be as prescribed.
  • If the treatment is properly taken, the recovery can start within 24 to 48 hours. 
  • Minimum Vitamin C intake can be 10mg without the doctor’s prescription. 
  • Nausea is again an early symptom of Scurvy.
  • In kids, scurvy can stop bone growth and tooth disease.
  • The skin color may change in the later stage of scurvy if not being treated properly and on time. 

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Sample questions

Ques. For how many years can one live healthily with scurvy? (3 marks)

Ans. If treatment is started in due time after the initial symptoms of the scurvy disease, one can expect the recovery of pain, fever, or fatigue within 24 or 48 hours. The other symptoms like bruising, weakness and bleeding may take up to two weeks. Other serious symptoms and the complete recovery are expected to get resolved gradually after three months. If the vitamins see supplements and the proper diet is taken properly then one can survive healthily after three months only. Otherwise, serious diseases can take place.

Ques. What are the other names of scurvy and the rate of this disease? (3 marks)

Ans. Scurvy can also be named as follows

  1. Moellers disease
  2. Cheadle Disease
  3. Barlow Disease
  4. Hypoascorbemia
  5. Vit C deficiency
  6. Scorbutus.

The rate of such disease varies from one place to another depending on the health and nutrition intake of individuals. Eg' Normally 5to 45% is seen amongst the refugees due to malnutrition.

Ques. What are the symptoms that appear within one to three months? (2 marks)

Ans. Symptoms that can appear after one to three months are anemia ( lack of blood in the human body), gingivitis ( gum bleed or other gum issues), skin damage, tooth issues, chest pain, reduced immune system, blurry vision, severe headache, gastro problems, etc. If proper doctor prescribed medicines are taken then they can be well treated within the next 3 to 4 months.

Ques. Describe scurvy in infants. (2 marks)

Ans. If the infants are suffering from scurvy then it is quite difficult to treat as they can become very anxious, and frustrated. The symptoms like weakness, bone issues, bleeding, and hemorrhage can be seen in infants. If the mothers are suffering from malnutrition, evaporated milk, or digestion issues then the children can suffer from scurvy. Proper guidance and care of the kids should be taken otherwise it can lead to serious issues.

Ques. What are the major reasons for Scurvy and who suffers from the same? (3 marks)

Ans. The following are the people who suffer from Scurvy:-

  • People above 65 years.
  • People who are Alcoholic.
  • People suffering from Vitamin C deficiency
  • People having Aids.
  • People with low income cannot afford good food.
  • People with a restricted diet.
  • People with Kidney Disease

Ques. What is the general diet to solve scurvy? (3 marks)

Ans. Foods enriched with Vitamin C should be taken to treat Scurvy.

  • Vegetable- Broccoli, Tomatoes, Carrots, Potatoes, Spinach and Cabbage.
  • Fruits- Lemons, Orange, Guava, Kiwi, Papaya, Strawberries, and also blueberries.
  • Foods like liver, paprika, and also oysters.

Ques. How does Ascorbic acid function in our body? (3 marks)

Ans. Ascorbic Acid increases the metabolism of the body. If alcohol is consumed for a long period, then the level of ascorbic acid can increase up to 47%. It helps to keep our body healthy and increases the excretion ability of the body. How alcohol and ascorbic acid reacts is still unknown but if consumed for 2 weeks continuously, then can increase the plasma and acid level up to 0.8%.

Ques. Recommend the treatment of scurvy in kids. (3 marks)

Ans. Intake of oral Vitamin C and ascorbic acid can reduce scurvy in kids. Make sure that the dose is under control. The maximum intake of infants should not exceed 25mg/day. If the Kid is above 14 years, then the intake can be between 30 to 40mg. But for changing the dose, taking the doctor's permission is mandatory.

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