
doi: 10.1148/67.3.412
pmid: 13359725
Although folic acid antagonists have been widely used in recent years, there have been only a few reports of their effects on Vitamin C metabolism. Recently, we have seen a patient with widespread neuroblastoma in whom typical scorbutic changes developed in the long bones during the course of aminopterin therapy. Case Report B. P., a 16-month-old white girl, was admitted to the University Hospital on Dec. 16, 1952, with progressive bilateral exophthalmos, more marked on the left; edema, venous engorgement and capillary dilatation of the upper eyelids; hepatomegaly; and otitis media of the right ear. Admission roentgen studies revealed multiple osteolytic lesions (Fig. 1) considered to be those of a metastatic neuroblastoma, in the skull, pelvis, and long bones. The latter diagnosis was confirmed by bone-marrow studies and a biopsy of the right tibia. The otitis media was treated with penicillin, streptomycin, and hydrogen peroxide irrigations. Beginning on Jan. 14, 1953, cortisone was given in doses of 50...
Folic Acid Antagonists, Humans, Scurvy, Aminopterin
Folic Acid Antagonists, Humans, Scurvy, Aminopterin
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