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Correspondence
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Volume 354:419-420 January 26, 2006 Number 4
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Medical Mystery: Extensive Ecchymosis — The Answer

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 by Mulleman, D.
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To the Editor: The Medical Mystery in the December 1 issue1 involved a 71-year-old man with lower-extremity ecchymosis (Figure 1) and gingivitis (Figure 2, arrows). He was a retired Army man living alone with a modest income. He had poor nutritional intake, had a history of 150 pack-years of smoking cigarettes, and consumed two glasses of red wine each day.

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Figure 1. Ecchymosis on the Lower Extremities.

 
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Figure 2. Severe Gingivitis.

 
Scurvy was suspected and confirmed by a low level of ascorbic acid (3.6 µmol per liter; normal range, 30 to 40). Other nutritional deficiencies that were identified included those . . . [Full Text of this Article]




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