The authors report two cases of scurvy in two encephalopathic 3 years-
old girls. The first case was misleading and was initially operated wi
th the diagnosis of osteomyelitis. The second one presented with bleed
ing syndrome and subperiosteal hemorrhage. The diagnosis of scurvy was
based upon deficient diet, clinical features, and periosteal cleavage
at ultrasonographic evaluation. Treatment with ascorbic acid, 400 mg/
d, led to a complete resolution of the clinical features. The authors
emphasize the misleading features of scurvy at bone ultrasonographic e
valuation and recommand a supplementation with ascorbic acid of childr
en with severe mental retardation.