Abstract

FERNANDEZ REGUEIRO, Rebeca; SANTOS HERNANDEZ, Sergio; GARCIA VALLINA, Alejandra  and  ESTRADA MARTINEZ, María. Purpura in hands. Rev Clin Med Fam [online]. 2017, vol.10, n.1, pp.44-45. ISSN 2386-8201.

We report the case of an institutionalized 57-year-old man affected by Down syndrome, with purpura in hands and lower extremities after the administration of a dose of amoxicillin-clavulanic acid. We suspected a drug hypersensitivity reaction but the skin reaction persisted after discontinuation of the antibiotic. After ruling out any other etiology, scurvy was diagnosed. The patient was treated with vitamin C supplements, showing a clear improvement. Scurvy is not a common diagnosis at the present time, but this disease from the past has not disappeared entirely. It can be easily overlooked in differential diagnosis, but vitamin supplementation is a simple and effective treatment.

Keywords : Purpura; Scurvy; Down Syndrome.

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