caa a22 4500 445355891 CHVBK 20180317142900.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0680-7 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0680-7 Scurvy hidden behind neuropsychiatric symptoms [Elektronische Daten] [Margherita Estienne, Marianna Bugiani, Alberto Bizzi, Tiziana Granata] Approaching an uncommon disease may result in diagnostic delay even in patients with typical clinical features. In this respect, diseases related to nutritional deficiencies may represent a diagnostic challenge. We describe a 2.5-year-old child with typical features of scurvy, who was referred for autistic-like behavior and severe muscle weakness and pain in lower limbs. Extensive investigations for non-nutrition-related disorders were first performed, including a muscle biopsy showing a selective type II fibers hypotrophy. Scurvy was eventually considered, after recalling the child's peculiar dietary habits. Springer-Verlag, 2011 Nutrition-related disorders nationallicence Vitamin C nationallicence Autistic behavior nationallicence Myalgia nationallicence Estienne Margherita Department of Pediatric Neuroscience, National Neurological Institute "C. Besta”, via Celoria 11, 20133, Milan, Italy aut Bugiani Marianna Department of Pediatrics/Child Neurology, VU University Medical Center, Amsterdam, The Netherlands aut Bizzi Alberto Department of Neuroradiology, National Neurological Institute "C. Besta”, Milan, Italy aut Granata Tiziana Department of Pediatric Neuroscience, National Neurological Institute "C. Besta”, via Celoria 11, 20133, Milan, Italy aut Neurological Sciences Springer Milan 32/6(2011-12-01), 1091-1093 1590-1874 32:6<1091 2011 32 10072 https://doi.org/10.1007/s10072-011-0680-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0680-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Estienne Margherita Department of Pediatric Neuroscience, National Neurological Institute "C. Besta”, via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Bugiani Marianna Department of Pediatrics/Child Neurology, VU University Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Bizzi Alberto Department of Neuroradiology, National Neurological Institute "C. Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Granata Tiziana Department of Pediatric Neuroscience, National Neurological Institute "C. Besta”, via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/6(2011-12-01), 1091-1093 1590-1874 32:6<1091 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer