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Wheeless' Textbook of Orthopaedics
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Scurvy



- Discussion:
    - disease that can affect intracellular biosynthesis of collagen is scurvy, which is caused by Vit C (ascorbic acid) deficiency;
    - specific defect appears is an inability of the tissue to hydroxylate proline (inadequate conversion of proline
            into hydroxyproline in collagen fibers), & there is also decreased hydroxylation of lysine;
    - less collagen will be formed, and the collagen that is formed will be of a poor quality;
    - collagen fibrils appear swollen & contain increased amounts of polysaccharides.
    - new bone formation is prevented, & the older bone becomes brittle;
    - old scars & wounds tend to rupture more easily when intake of this vitamin is inadequate;

- Radiographs:
    - metaphyseal radiolucency;

- Treatment:
    - vitamin C:
          - children 30 mg/day;
          - adults: 50 mg/day;









Original Text by Clifford R. Wheeless, III, MD.