To the Editor: I had the opportunity to help care for a patient at the Philadelphia General Hospital in November 1960, with a history similar to that presented by Helen Ossofsky, MD (Amer J Dis Child 109:173, 1965).
This infant was an 11-month-old Negro female with a history of atopic dermatitis since early infancy. She was treated at another hospital in the city for six months with an elimination diet that excluded milk, fresh fruit, eggs, and vitamins. Her principal feedings were Soyalac, strained vegetables, rice cereal, and soup. Approximately one month prior to admission to the Philadelphia General Hospital she stopped standing and became progressively more irritable and listless; those symptoms were followed by swelling, tenderness, and frog-leg position of lower extremities. X-ray studies of the extremities were suggestive of scurvy and the ascorbic acid level drawn 24 hours after the start of therapy was 0.1 mg/100 cc. Other