Scurvy
Vitamin C deficiency; Deficiency - vitamin C; Scorbutus
Scurvy is a disease that occurs when you have a severe lack of vitamin C (ascorbic acid) in your diet. Scurvy causes general weakness, anemia, gum disease, poor wound healing, and skin hemorrhages.
Scurvy is rare in the United States. Older adults who are not getting proper nutrition are most affected by scurvy.

Scurvy is a nutritional disease caused by deficiency of vitamin C. Common symptoms include pinpoint bleeding around hair follicles, along the gums, and under the nails, as seen in this photograph. This disease rarely occurs in the United States.

Scurvy is a nutritional disease caused by deficiency of vitamin C. Pinpoint bleeding around hair follicles, and corkscrew hairs as seen in this picture, can occur as a result of scurvy. Bleeding along the gums is common. This disease rarely occurs in the United States.

Corkscrew hairs in hyperkeratotic follicles are pathognomonic of scurvy, or vitamin C deficiency. Petechiae and subungual hemorrhage may also be seen.
References
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Nutritional diseases. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 22.
Hall JE Hall ME. Dietary balances; regulation of feeding; obesity and starvation; vitamins and minerals. In: Hall JE, Hall ME ed. Guyton and Hall Textbook of Medical Physiology. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 72.
Version Info
Last reviewed on: 7/8/2023
Reviewed by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
