Цинга в современной практике: у большинства пациентов была ЖДА и проблемы с ЖКТ, принимали ИПП (празолы), наиболее частые проявления - кровотечения и синяки/кровоподтеки:
22 adults patient had a diagnosis of scurvy with a mean vitamin C level of 6 μmol/L. Iron deficiency anemia (54%) and gastrointestinal disorders (54%) were the most common comorbidities noted in our cohort. Proton-pump inhibitors use was noted in 54% of patients. Bleeding (45%) and bruising (45%) were the most commonly reported clinical features. Eleven patients received oral supplementation, five had intravenous (IV) vitamin C and six were not treated. Two patients required a transition from oral to IV supplementation. Vitamin C dosing ranged between 250 and 2000 mg and the frequency varied from daily for oral therapy to every few weeks or months for IV.
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Blood Cells Mol Dis. 2019 Jan 24.
Scurvy, an old story in a new time: The hematologist's experience.
Khalife R и соавт.
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