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Robert W. Walters, MD; James M. Grichnik, MD, PhD
Department of Medicine, Division of Dermatology, Duke University Medical Center, Durham, NC

Arch Dermatol. 2006;142:658.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The lesions pictured are from the lower legs of a 56-year-old white man (Figure 1), a 32-year-old white woman (Figure 2), and a 77-year-old white man (Figure 3). All 3 patients presented with a lower extremity erythematous, hyperkeratotic, follicular-based process most notable on the lower legs (illustrated) and ecchymoses most notable on the thighs (not illustrated). All 3 were clinically diagnosed as having ascorbic acid deficiency. Laboratory ascorbic acid levels were available for the 56-year-old white man and were low, at less than 0.1 mg/dL (normal range, 0.6-2.0 mg/dL). His problems were precipitated by a diet that consisted only of snack cakes and frozen dinners.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

The dermoscopic images of his lesions in Figure 4 and Figure 5 reveal the presence of hair follicles surrounded by nonblanchable perifollicular hemorrhage intermixed . . . [Full Text of this Article]