D53.2

Clinical Causes: Inadequate intake of vitamin C-rich foods like fruits and vegetables Malnutrition or poor dietary habits Certain medical conditions that impair nutrient absorption, such as Crohn’s disease or celiac disease Alcoholism or substance abuse that leads to poor nutrition Severe illness or frailty that decreases dietary intake Increased need for vitamin C during pregnancy or illness without adequate supplementation

Key Symptoms: Fatigue and weakness Swollen, bleeding gums Loose teeth or tooth loss Pain and tenderness in the joints and muscles Easy bruising and bleeding under the skin Poor wound healing Anemia symptoms like pale skin, shortness of breath, and dizziness

Diagnosis Path: Diagnosis involves clinical evaluation of symptoms, dietary history, and laboratory tests. Blood tests can detect low levels of vitamin C and the presence of anemia. Sometimes, doctors may order additional blood work to rule out other causes of anemia. Physical examination can reveal signs such as gum bleeding or swelling that are characteristic of vitamin C deficiency.

Treatment Protocols: Treating scorbutic anemia typically includes vitamin C supplementation, either through diet or supplements. Increasing intake of vitamin C-rich foods like citrus fruits, tomatoes, strawberries, bell peppers, and leafy greens can help. In more severe cases, healthcare providers may prescribe high-dose vitamin C supplements for a period until symptoms improve. Addressing underlying causes, such as malnutrition or absorption issues, is also important for long-term management.