Article Navigation
- < Previous
- Next >
Journal Article
Get access
, R. Ward Dermatology Department Kingston Hospital Galsworthy Road Kingston upon Thames UK Search for other works by this author on: Oxford Academic N. Fox Dermatology Department Kingston Hospital Galsworthy Road Kingston upon Thames UK Search for other works by this author on: Oxford Academic J. Natkunarajah Dermatology Department Kingston Hospital Galsworthy Road Kingston upon Thames UK Search for other works by this author on: Oxford Academic
Clinical and Experimental Dermatology, Volume 46, Issue 5, 1 July 2021, Pages 956–957, https://doi.org/10.1111/ced.14628
Published:
01 July 2021
- Views
- Article contents
- Figures & tables
- Video
- Audio
- Supplementary Data
-
Cite
Cite
R. Ward, N. Fox, J. Natkunarajah, Scurvy: a forgotten cause of purpuric rash, Clinical and Experimental Dermatology, Volume 46, Issue 5, 1 July 2021, Pages 956–957, https://doi.org/10.1111/ced.14628
Close
Search
Close
Search
Advanced Search
Search Menu
Extract
Conflict of interest: the authors declare that they have no conflicts of interest.
A 49‐year‐old man presented to hospital with hypotension following a collapse. He had been generally unwell with shortness of breath and had developed bruising over his abdomen, arms and legs. His medical history included schizophrenia, Type 2 diabetes and hypertension. He lived alone, did not consume alcohol and his diet consisted of mainly pre‐packed sandwiches. He denied misuse of any illicit substances or medications.
On physical examination the patient was alert and orientated, and vital signs were unremarkable apart from hypotension (blood pressure 60/30 mmHg; pulse 78 beats/min). There was a widespread nonblanching petechial exanthem over the legs, arms and torso (Fig. 1a), with a significant palpable purpuric plaque on the left lateral lower leg. Initial differential diagnoses included sepsis, acute viral infection, small vessel vasculitis, idiopathic thrombocytopenic purpura, disseminated intravascular coagulation or haematological malignancy.
Blood results showed mild acute kidney injury, slightly raised inflammatory markers and microcytic anaemia [haemoglobin 109 g/L (normal range 130–180 g/L), mean corpuscular volume 75.9 fL (80–96 fL)]. International normalized ratio and platelet and fibrinogen levels were normal. Twelve‐lead electrocardiography showed normal sinus rhythm and chest radiography was clear. Urinalysis revealed microscopic haematuria and proteinuria.
Issue Section:
Correspondence > Viewpoints in dermatology
You do not currently have access to this article.
Download all slides
Sign in
Get help with access
-
British Association of Dermatologists members
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Sign in Register
Institutional access
- Sign in with a library card
- Sign in with username/password
- Recommend to your librarian
Sign in through your institution
Sign in through your institution
Institutional account management
Sign in as administrator
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
- Click Sign in through your institution.
- Select your institution from the list provided, which will take you to your institution's website to sign in.
- When on the institution site, please use the credentials provided by your institution. Do not use an Oxford Academic personal account.
- Following successful sign in, you will be returned to Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
- Click Sign in through society site.
- When on the society site, please use the credentials provided by that society. Do not use an Oxford Academic personal account.
- Following successful sign in, you will be returned to Oxford Academic.
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
- View your signed in personal account and access account management features.
- View the institutional accounts that are providing access.
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.
Purchase
Subscription prices and ordering for this journal
Purchasing options for books and journals across Oxford Academic
Short-term Access
To purchase short-term access, please sign in to your personal account above.
Don't already have a personal account? Register
Scurvy: a forgotten cause of purpuric rash - 24 Hours access
EUR €41.00
GBP £35.00
USD $44.00
Rental
This article is also available for rental through DeepDyve.
Advertisem*nt
Citations
Views
41
Altmetric
More metrics information
Metrics
Total Views 41
32 Pageviews
9 PDF Downloads
Since 1/1/2023
| Month: | Total Views: |
|---|---|
| January 2023 | 2 |
| February 2023 | 6 |
| March 2023 | 19 |
| April 2023 | 2 |
| May 2023 | 1 |
| July 2023 | 1 |
| September 2023 | 1 |
| October 2023 | 1 |
| November 2023 | 1 |
| December 2023 | 1 |
| January 2024 | 1 |
| March 2024 | 1 |
| April 2024 | 2 |
| May 2024 | 2 |
Email alerts
Article activity alert
Advance article alerts
New issue alert
Receive exclusive offers and updates from Oxford Academic
Citing articles via
Google Scholar
-
Latest
-
Most Read
-
Most Cited
Advertisem*nt
