Hypo Vit C

Question 1

What infantile food is associated with scurvy?

Answer 1

Pasteurized or boiled milk

Question 2

How long must an infant be vit C deficient before clinically aparent disease develops?

Answer 2

4-10 months

Question 3

In general, what is the “hallmark” of scurvy?

Answer 3

Hemorragic tendency

Question 4

Metaphyseal changes in scurvy?

Answer 4

Sclerotic provisional zone

Scurvy line (between ZPC and normal bone in diaphysis)

Beak-like outgrowths

Periosteal elevation with new bone formation (due to subperiosteal hemorrhage)

(“corner sign” or “angle sign”???)

Question 5

Epiphyseal changes in scurvy?

Answer 5

Wimberger’s sign/ring

(thickening of the ZPC around epiphysis, with lucency of the spongiosa)