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matitis
Stomatitis from scurvy (vitamin C deficiency)
Clinical features
B leed in g gum s , a s s o cia ted in in fa n ts w ith lo w er lim b pa in ca us ed b y
s ub perio s tea l
h a em o rrh a ge. I t is co m m o n in co n t ext s o f po o r fo o d q ua lit y o r in po pula t io n s
co m pletely d epen d en t o n fo o d a id (refugee ca m ps ).
Treatment
ascorbic acid ( vitamin C) PO
C hild ren : 1 5 0 to 2 0 0 m g/ d a y in 3 o r 4 d ivid ed d o s es
A d ults : 5 0 0 to 7 5 0 m g/ d a y in 3 o r 4 d ivid ed d o s es
T he trea tm en t is co n tin ued un til s ym pto m s im pro ve (1 to 2 w eeks ), then a
preven tive
trea tm en t ( ch ild ren a n d a d ults : 2 5 to 5 0 m g/ d a y) is given a s lo n g a s th e
s it ua t io n
req uires .
Other lesions resulting from a nutritional
deficiency
O ther vita m in d eficien cies m a y pro vo ke m o uth les io n s : a n gula r s to m a titis o f the
lips
a n d glo s s itis fro m vita m in B 2 (rib o fla vin ), n ia cin (s ee Pellagra, pa ge 1 1 8 ) o r
vita m in B 6
(pyrid o xin e) d eficien cies .
Iro n d eficien cy m a y a ls o pro vo ke a n gula r s to m a titis (s ee Anaemia, pa ge 3 7 ).
G ive th e co rres po n d in g vita m in s a t cura tive d o s es . M ultivita m in s a re in s ufficien t
to
trea t true vita m in d eficien cies .
Stomatitis from scurvy (vitamin C deficiency)
Clinical features
B leed in g gum s , a s s o cia ted in in fa n ts w ith lo w er lim b pa in ca us ed b y
s ub perio s tea l
h a em o rrh a ge. I t is co m m o n in co n t ext s o f po o r fo o d q ua lit y o r in po pula t io n s
co m pletely d epen d en t o n fo o d a id (refugee ca m ps ).
Treatment
ascorbic acid ( vitamin C) PO
C hild ren : 1 5 0 to 2 0 0 m g/ d a y in 3 o r 4 d ivid ed d o s es
A d ults : 5 0 0 to 7 5 0 m g/ d a y in 3 o r 4 d ivid ed d o s es
T he trea tm en t is co n tin ued un til s ym pto m s im pro ve (1 to 2 w eeks ), then a
preven tive
trea tm en t ( ch ild ren a n d a d ults : 2 5 to 5 0 m g/ d a y) is given a s lo n g a s th e
s it ua t io n
req uires .
Other lesions resulting from a nutritional
deficiency
O ther vita m in d eficien cies m a y pro vo ke m o uth les io n s : a n gula r s to m a titis o f the
lips
a n d glo s s itis fro m vita m in B 2 (rib o fla vin ), n ia cin (s ee Pellagra, pa ge 1 1 8 ) o r
vita m in B 6
(pyrid o xin e) d eficien cies .
Iro n d eficien cy m a y a ls o pro vo ke a n gula r s to m a titis (s ee Anaemia, pa ge 3 7 ).
G ive th e co rres po n d in g vita m in s a t cura tive d o s es . M ultivita m in s a re in s ufficien t
to
trea t true vita m in d eficien cies .
