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. 2018 Dec 5;1(1):17–22. doi: 10.1136/bmjnph-2018-000010

Table 1.

Case reports on vitamin C deficiency and chronic alcohol intake

Reference Country Sex Age Clinical signs Alcohol intake (drinks/day) Plasma vitamin C (µmol/L)
(RR 28–70)
Other deficiencies Replacement regimen
Vitamin C/day (mg) Route Period
Chaudhry et al 11 England Male 44 Lethargy, FH, PH, G Chronic <3 NS 800 Oral 2 weeks
Wang and Still12 USA Male 65 E, PH, G, CH 10–15 6.82 NS 1000 NS 5 days
500 NS After 5 days
Léger13 Canada Male 47 Lethargy, E, PH 8–10 <10 NS NS Oral NS
Takeshima et al 14 Japan Male 45 P, G, Oe 13 1.13 Vit B9: 1.3 ng/mL (RR 2.4–12.0)
Hb: 58 g/L (>135)
1200 Oral 3 weeks
Gião Antunes et al 15 Portugal Male 40 GH, FH, PO 12 7.95 Vit B9: 2.1 ng/mL (RR 2.4–12.0)
Hb: 71 g/L (>135)
300 Oral 2 weeks
100 Oral 1 month after 2 weeks
Lux-Battistelli and Battistelli16 USA Male 54 Lethargy, weak, P, GH Dependent 3.1 NS 1000 Oral 8–10 weeks
Male 24 Fatigue, weak, dyspnoea, Oe 14–28 <3 NS 1000 Oral 12 weeks
Male 48 FH, unsteady 34 <24 NS 500 Oral 12 weeks
Bennett et al 17 USA Male 64 E, GH, unsteady weight loss 8–10 5.68 Vit B9: 2 ng/mL (RR >4.7)
Vit B6: <2 µg/L (RR 5–50)
NS Oral NS

CH, corkscrew hairs;E, ecchymoses; FH, follicular hyperkeratosis; G, gingivitis; GH, gingival hypertrophy; Hb, haemoglobin; NS, not specified; Oe, oedema; P, petechiae or purpura; PH, perifollicular haemorrhages; PO, periodontitis; RR, reference range; Vit, vitamin.