Scurvy in children . . . and other storiesBMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m159 (Published 23 January 2020) Cite this as: BMJ 2020;368:m159
Scurvy once occurred in seafarers and long distance travellers. Currently, the most vulnerable group seems to be children with autism or developmental delay who will eat only highly selective diets. Ten children seen at a rheumatology clinic in North America had been referred because of pain and difficulty in walking and weight bearing (J Pediatr doi:10.1016/j.jpeds.2019.10.059). Before the correct diagnosis was made, conditions such as juvenile arthritis, osteomyelitis, and vasculitis were considered and investigated. All responded quickly to vitamin C supplements.
The obesity transition
In rich countries, obesity is commonest among poorer people, while overweight …