LAUSR

Scurvy, caused by the prolonged deficiency of vitamin C (ascorbic acid), was once a malady predominantly associated with sailors in the 1600s and 1700s. However, the National Health and Nutrition Examination Survey in 2003-2004 found the overall prevalence of vitamin C deficiency in the United States to be 7.1%, suggesting that this is a more significant contributor to medical illness today than previously recognized.1 While in the pediatric population the prevalence is <2% in 6to 11-year-old children and <4% in adolescents, its frequency is increased in children/adolescents with autism spectrum disorder, many of whom manifest food selectivity and have restricted diets.1 The relative rarity often leads to misdiagnosis or delayed diagnosis of scurvy and its complications. In this case, we report a unique presentation of scurvy in a 10-year-old boy with unilateral leg pain and bifrontal epidural hemorrhages.