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Scurvy Following Folic Acid Antagonist Therapy

Authors: J M, DENNIS; R, MERCADO;

Scurvy Following Folic Acid Antagonist Therapy

Abstract

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...

Keywords

Folic Acid Antagonists, Humans, Scurvy, Aminopterin

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Average
Top 10%
Average
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