Scurvy Related to the Use of a Homemade Tube Feeding Formula

Abstract

A family was administering a homemade formula to empirically treat presumed food allergies in their tube feeding–dependent child. He presented with widespread bruising and tenderness, loose teeth, swollen gums, and anemia. Scurvy was diagnosed, and he showed rapid improvement with vitamin C therapy. Providers who care for individuals who are fed homemade formulas, or who have unusual dietary practices, need to be aware of possible macro- and micronutrient deficiencies.