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This 30-year-old homeless man had swollen, erythematous gums (left), scattered perifollicular hemorrhages, and extensiveecchymoses over his left leg (right). His hematocrit value was low, but his platelet and leukocyte values were normal.
The triad of perifollicular hemorrhages, extensive ecchymoses, and hypertrophied, discolored gums is diagnostic of scurvy. Thispatient’s plasma and leukocyte ascorbic acid concentrations were low. With proper diet and Vitamin C supplementation, his anemia and abnormal physicalfindings promptly resolved.
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