19 July 2023
: Case report 
Unusual Presentation of Pediatric Scurvy: A Necrotic Gastrostomy Tube Site in a 14-Year-Old Boy
Unusual clinical course, Challenging differential diagnosis, Rare disease
Nicholas R. Zessis
1ABCDEF*, Sarah W. Peters2BCDE, Jonathan D. Samet3CDE, Simon Parzen-Johnson1BCDE, Laura T. Russo4BCDE, Waheeda Samady1ACDE, Rebecca Stephen1ACDE
DOI: 10.12659/AJCR.940770
Am J Case Rep 2023; 24:e940770
Table 3. Laboratory testing results during hospital admission.
| Test and units | Reference range | Hospital Day 2 | Hospital Day 3** | Hospital Day 5 | Hospital Day 7 |
|---|---|---|---|---|---|
| Vitamin C, mg/dL | 0.2–2.1 | – | – | – | |
| Vitamin D, 25-0H, ng/mL | 30–119 | – | – | – | |
| Vitamin B1(thiamine), nmol/L | 70–180 | – | 114 | – | – |
| Vitamin B6, mcg/L | 5–50 | – | – | – | |
| Vitamin B9 (folate), ng/mL | >8.0 | – | 11.8 | – | – |
| Vitamin B12, pg/mL | 260–935 | – | 1884 | – | – |
| vWF antigen, % | Variable | 107 | – | – | – |
| White blood cells per µL | 13–180 | – | – | – | |
| Red blood cells per µL | 0–2000 | – | – | – | |
| Neutrophils,% | 0–25 | – | – | – | |
| Culture | No growth | No growth | – | – | – |
| CRP, mg/dL | 0–0.8 | – | 0.7 | ||
| * Obtained on hospital day 2, resulted on hospital day 8; ** Initiated treatment for scurvy with vitamin C on hospital day 3. values indicate an abnormal result. Units: mg/dL – milligrams per deciliter; ng/mL – nanograms per milliliter; nmol/L – nanomoles per liter; mcg/L – micrograms per liter; pg/mL – picograms per milliliter; vWF – von Willebrand factor; µL – microliter; CRP – C-reactive protein. | |||||