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Scurvy Causing Bilateral Orbital Hemorrhage
Brian Sloan, MB, BCh, MHB, FRACO;
Dwight R. Kulwin, MD;
Robert C. Kersten, MD
Cincinnati, Ohio
Arch Ophthalmol. 1999;117:842-843.
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A 13-YEAR-OLD white girl had an 18-hour history of spontaneous right proptosis (Figure 1) and significant periorbital and retrobulbar discomfort. This had developed while she was resting quietly. She had not recently taken aspirin, nonsteroidal anti-inflammatory drugs, or anticoagulants.
Figure appears in full text version.
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Figure 1. Appearance of patient at time of presentation with right-sided proptosis. The superior sulcus was expanded and tense to palpation.
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She had a 2-month history of increasingly severe lower leg pain that necessitated the use of a wheelchair and a 1-month history of bleeding gums (Figure 2), both of unknown cause. Results of a recently performed gum biopsy were unremarkable. She was known to have thalassaemia major, treated with repeated blood transfusions. Thalassaemia is not usually associated with coagulation abnormalities, and extensive testing revealed no evidence of coagulopathy.
Figure appears in full text version.
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COMMENT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Vitamin C Deficiency and Depletion in the United States: The Third National Health and Nutrition Examination Survey, 1988 to 1994
Hampl et al.
Am. J. Public Health 2004;94:870-875.
ABSTRACT
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Bilateral Subperiosteal Orbital Hematomas and Henoch-Schonlein Purpura
Ma'luf et al.
Arch Ophthalmol 2002;120:1398-1399.
FULL TEXT
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