Scurvy (vitamin C deficiency) Scurvy (vitamin C deficiency). Note perifollicular hemorrhage on the leg. The follicles are often plugged by keratin (perifollicular hyperkeratosis). This eruption occurred in a 46-year-old alcoholic, homeless man who also had bleeding gums and loose teeth. (Source: K Wolff et al: Fitzpatrick’s Color Atlas & Synopsis of Clinical Dermatology, 5th ed. New York, McGraw-Hill, 2005.) See Chap. 96e. Source: Atlas of Clinical Manifestations of Metabolic Diseases, Harrison's Principles of Internal Medicine, 19e Citation: Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. Harrison's Principles of Internal Medicine, 19e; 2015 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/1130/kas_ch436e_f002.png&sec=98734129&BookID=1130&ChapterSecID=79754603&imagename= Accessed: November 05, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved