Perifollicular Hemorrhage With Corkscrew Hair Due to Scurvy

    October 2015 in “ Postgraduate Medical Journal ”
    Juan Nicolas Lessing, Eric Daniel LaMotte, Ata Saba Moshiri, Nicholas Maxwell Mark, Juan Nicolas Lessing, Eric Daniel LaMotte, Ata Saba Moshiri, Nicholas Maxwell Mark
    TLDR Scurvy can cause skin issues and is treatable with vitamin C.
    A 38-year-old Caucasian man with rheumatoid arthritis and schizophrenia developed scurvy due to a restricted diet of rice, beans, corn, carrots, and water, which he adopted after self-diagnosing gluten insensitivity. He presented with a rash, malaise, and fatigue, and physical examination revealed corkscrew and swan neck hair deformities with perifollicular petechiae, particularly on the lower extremities. His L-ascorbic acid level was undetectable, confirming scurvy. This case highlighted the importance of recognizing scurvy's dermatological manifestations, especially in marginalized populations, and demonstrated that it could be effectively treated with vitamin replacement.
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