This woman has scurvy (vitamin C deficiency) as evidenced by her bleeding gums and perifollicular hemorrhages

This is common in older people who may not have the proper nutrients

• Elderly woman with bland diet with bleeding gums, ecchymoses and perifollicular hemorrhages, which are the classic symptoms seen in scurvy (vitamin C deficiency)
• Pathophysiology involves problem in collagen synthesis because vitamin C involved in hydroxylation of proline and lysine