Evidence map›Paper›PMID 31279337›Full record

ArticleBMC pediatrics2019

Scurvy presenting with limp and weakness: a case report.

Robin M Lund, Mara L Becker, Steven Shapiro, Tyler Allison, Julia G Harris

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Robin M LundUniversity of Louisville School of Medicine, 571 S. Floyd Street, Suite 412, Louisville, KY, 40202, USA.
Mara L BeckerDuke Clinical Research Institute, 200 Morris Street, Durham, North Carolina, 27701, USA.
Steven ShapiroChildren's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Tyler AllisonChildren's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Julia G HarrisChildren's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA. jgharris@cmh.edu.ORCID 0000-0001-5931-9786
Mercy Hospital · USClinical Research Institute · USUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScurvy is one of the oldest diseases known to mankind. Although presently rare in the developed world, scurvy was a common potentially fatal disease. In recent times, the most common risk factors for scurvy include alcoholism, low socioeconomic status, and severely poor nutrition or dietary restriction secondary to psychiatric illness or developmental disorders. Our case demonstrates the importance of having a high index of clinical suspicion of an uncommon disease in developed countries and emphasizes the necessity of a dietary screening that could potentially reduce extensive work-up in patients with nonspecific complaints. CASE PRESENTATION: We report a case of a 3-year-old previously healthy female originally seen in the rheumatology clinic for limp. She developed weakness and was admitted to the hospital for further evaluation. She underwent extensive diagnostic testing including blood work, magnetic resonance imaging, lumbar puncture, electromyogram, and nerve conduction studies. Ultimately, her vitamin C level returned undetectable. She had immediate and complete improvement upon starting vitamin C supplementation.

conclusionsDespite being developmentally appropriate, our patient's refusal to eat fruits or vegetables had limited her diet, emphasizing the importance of obtaining a diet history in a child presenting with an unknown diagnosis. In addition, our patient had no other characteristic features of scurvy, which further supports the need to consider this diagnosis in a child presenting with lower extremity weakness or abnormal gait.

Indexed as

ArthralgiaAscorbic AcidChild, PreschoolDiagnosis, DifferentialFeeding and Eating Disorders of ChildhoodFemaleFood PreferencesGait Disorders, NeurologicHumansMuscle WeaknessScurvyAscorbic AcidDifficulty walkingMuscle weaknessScurvy

Identifiers

PMID31279337
PMCPMC6612164
OpenAlexW2955457286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.