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Scurvy

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What is scurvy?

Scurvy is a condition caused by prolonged deficiency of vitamin C and is characterized by general weakness, gum disease (gingivitis), anemia and skin problems including bleeding into the skin. Vitamin C is not produced by the body and therefore must come from the diet. Vitamin C is found in fresh fruits and vegetables.

Many years ago, scurvy was associated with sailors and pirates as fruit and vegetables would perish during long sea voyages. Scurvy is not as common now, as most people have access to fresh fruit and vegetables, or supplements all year round. However, it is still possible to get scurvy if you are malnourished and lack vitamin C.

Causes

Scurvy is caused by a severe deficiency in vitamin C and symptoms usually appear after about three months. Vitamin C is not produced by the body and therefore must come from the diet. Severe deficiency in vitamin C can be caused by malnutrition where there are limited fruit and vegetables consumed, or in medical conditions that prevent the absorption of vitamin C.

A lack of vitamin C in the diet can affect many of the body's processes including collagen formation, which is used throughout the body to strengthen skin, blood vessels and bones. Collagen is also important in wound healing. Other processes affected by a lack of vitamin C include decreased iron absorption and the ability to fight infection.

Swollen and reddened gums caused by scurvy. 

Risk factors

Some people are more at risk of vitamin C deficiency and therefore developing scurvy. These include:

  • Alcoholics with poor nutrition;
  • Elderly people who may be malnourished;
  • People who smoke, as smoking lowers vitamin C uptake;
  • People on fad diets that may restrict certain foods;
  • People with malabsorption disorders and inflammatory bowel disease;
  • Dialysis patients due to unwanted vitamin C clearance, and;
  • Other malnourished people.

Signs and symptoms

Signs and symptoms of scurvy occur after around three months of severe vitamin C deficiency and can include:

Severe cases can lead to heart and lung problems involving breathing difficulties, low blood pressure and death.

Papules in the skin caused by scurvy. 

Methods for diagnosis

Your doctor can make a diagnosis of scurvy after evaluating your dietary habits and performing a blood test to check vitamin C levels. An X-ray of sore joints or bones to check for bone thinning, which is commonly seen in people with scurvy, may also be performed.

Types of treatment

Scurvy is treated by increasing the amount of vitamin C in your diet. This can be in the form of fruits, particularly citrus fruits including oranges, lemons and limes. Vegetables including spinach, cabbage, capsicum and broccoli are also high in vitamin C.

To aid your treatment, your doctor may suggest that you take vitamin C supplement tablets for a short period. With effective treatment, symptoms including bleeding into the skin and gums will stop within one to two days. Aching limbs and tender joints may take a few weeks to heal.

As part of the treatment process, it is important to manage any underlying conditions that are causing your vitamin C deficiency and scurvy.

Many fresh foods including fruit and vegetables contain vitamin C.  

Potential complications

Complications of scurvy can be serious, including anemia, heart and lung problems, shock and death. Scurvy can also affect bone growth in newborns and children. A deficiency in vitamin C causes growth plates in bones to harden prematurely, leading to the stunting of height.

Iron deficiency may occur in people with scurvy. This is because vitamin C is required for the absorption of iron from your diet. Your iron levels may be measured by a blood test while being tested for scurvy.

Prognosis

Scurvy is a condition caused by a prolonged deficiency in vitamin C, but is easily treated by increasing the amount of vitamin C in your diet. The outlook is positive, with symptoms subsiding within days to weeks with generally no long-lasting effects.

Prevention

It is possible to prevent scurvy by having enough vitamin C in the diet. It is best to eat plenty of fresh fruit and vegetables, as they not only contain vitamin C, but many other nutrients to keep you healthy. Vitamin C supplements are also available if you are not getting enough from your diet.

9 Most frequently asked questions (FAQs)

What is scurvy?
Scurvy is a condition caused by a prolonged deficiency of vitamin C (ascorbic acid) and is characterized by general weakness, gum disease (gingivitis), anemia and skin problems, including bleeding into the skin.
What are the symptoms of scurvy?
Signs and symptoms of scurvy occur after around three months of severe vitamin C deficiency and can include: weakness and fatigue; skin problems including papules, which are bluish/reddish spots that surround hair follicles, and can join together to cover large areas of skin, termed purpura; anemia due to blood loss; swollen and reddened gums with loosened teeth; aching limbs and swollen, tender joints; eye problems including dryness, irritation and light intolerance, and; fever, diarrhea and vomiting in children.
What causes scurvy?
Scurvy is caused by a severe vitamin C deficiency. Symptoms usually appear after three months. Vitamin C is not produced by the body; it must come from the diet. Severe vitamin C deficiency can be caused by malnutrition (not eating enough fruit and vegetables with vitamin C in them), or in medical conditions that prevent the absorption of vitamin C.
Who can develop scurvy?
Some people are more at risk of developing scurvy. These include: alcoholics with poor nutrition; older people who may be malnourished; people who smoke (smoking lowers vitamin C uptake); people on fad diets that may restrict certain foods; people with malabsorption disorders and inflammatory bowel disease; dialysis patients, and; other malnourished people.
How is scurvy diagnosed?
Your doctor will diagnose scurvy after evaluating your dietary habits and performing some simple tests. Your doctor may perform a physical examination, ask about your medical history and conduct a blood test to check vitamin C levels.
How is scurvy treated?
Scurvy is treated by increasing the amount of vitamin C in your diet. This can be in the form of fruits, particularly citrus fruits such as oranges, lemons and limes. Vegetables including spinach, cabbage, capsicum and broccoli are also high in vitamin C. To aid the treatment process, your doctor may suggest that you take vitamin C supplement tablets for a short period.
Can scurvy be cured?
Scurvy can be cured by increasing the amount of vitamin C in your diet.
Will scurvy clear up on its own?
Scurvy will not clear up on its own. An increase in vitamin C in the diet is required to treat scurvy.
Can scurvy be prevented?
You can prevent scurvy by having enough vitamin C in the diet. It is best to eat plenty of fresh fruit and vegetables, as they not only contain vitamin C, but many other nutrients to keep you healthy. Vitamin C supplements are also available if you are not getting enough in your diet.

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About this article

Title: Scurvy

Author: Dr Bow Tauro PhD, BSc (Hons)

First Published: 13 Jul 2015

Last reviewed: 17 Jan 2022

Category: Information on Scurvy

Average rating: 4.2 out of 5 (1556 votes)

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