Scurvy is a rare disease in developed countries. Risk groups include children 
with restricted diets, mainly patients who are autistic or have cerebral palsy. 
Furthermore, consumption of plant-based beverages has increased in recent years, 
especially in developed countries. When plant-based beverages are the exclusive 
diet in the first year of life and not consumed as a supplement to formula or 
breastfeeding, it can result in severe nutritional problems. We report a case of 
scurvy after exclusive intake of almond beverages and almond flour from 2.5 to 
11.0 months of life. The patient was referred for pathologic fractures of the 
femur, irritability, and failure to thrive. He had typical radiologic signs of 
scurvy, such as osteopenia, cortical thinning, Wimberger ring, Frankel line, 
fracture, and periosteal reaction. Moreover, his plasmatic vitamin C level was 
very low. The child was diagnosed with scurvy and was started on vitamin C 
replacement therapy at a dose of 300 mg per day. Over the following 3 months, 
his general condition, the pain in the legs, and the radiologic features 
improved; the plasmatic vitamin C level was normalized; and the child started 
walking. In summary, this case demonstrates that scurvy is a new and severe 
complication of improper use of almond drinks in the first year of life. 
Manufacturers should indicate that these beverages are inappropriate for infants 
who consume a vitamin C-deficient diet.