Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Stöger, H; Wilders-Truschnig, M; Schmid, M; Petek, W; Samonigg, H.
Scurvy after a suicide attempt by starvation].
Dtsch Med Wochenschr. 1994; 119(16):589-592
Doi: 10.1055/s-2008-1058734
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Stöger Herbert
- Co-Autor*innen der Med Uni Graz
- Samonigg Hellmut
- Truschnig-Wilders Martini
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- Abstract:
- A 29-year-old man was admitted to hospital, unconscious and with extensive bleedings in skin and muscles. For many weeks he had been practically starving himself with suicidal intent. Physical examination revealed signs of anaemia and gingivitis with hypertrophy of the tooth borders and bleeding gums, as well as bright blood on rectal examination. There were extensive ecchymoses and petechiae, especially in the legs. Some of the body hair was corkscrew-curly. Haemoglobin level was 7.2 g/dl, mean corpuscular volume 93 fl, reticulocyte count 29/1000. The Rumpel-Leede test was abnormal (60 petechiae/4 cm2), as were the vitamin C level (0.026 mg/dl whole blood) and the ascorbic acid tolerance test. As these findings indicated scurvy, vitamin C was administered, 1 g daily intravenously for 5 days, followed by 500 mg daily by mouth. Remarkable improvement was apparent as early as 72 hours after onset of treatment. The endogenous depression, the underlying cause of the suicide attempt, was treated with clomipramine. When the patient was discharged after 13 days his physical and mental state was much improved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Ascorbic Acid - blood
- Ascorbic Acid - therapeutic use
- Clomipramine - therapeutic use
- Depressive Disorder - drug therapy
- Erythrocyte Count -
- Erythrocyte Indices -
- Hemoglobins - analysis
- Humans -
- Male -
- Reticulocytes -
- Scurvy - blood
- Scurvy - drug therapy
- Scurvy - etiology
- Self-Injurious Behavior -
- Starvation - complications
- Suicide, Attempted -