Question:

A child presents with gum bleeding, perifollicular hemorrhages, petechiae, and recurrent fractures. Which enzyme deficiency is most likely?

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Vitamin C deficiency impairs collagen synthesis by reducing hydroxylation of proline and lysine.
Updated On: May 14, 2026
  • Lysyl oxidase
  • Prolyl hydroxylase
  • Tyrosinase
  • Alkaline phosphatase
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The Correct Option is B

Solution and Explanation

Concept: Gum bleeding, perifollicular hemorrhage and bone fragility suggest vitamin C deficiency. Vitamin C is required for hydroxylation of proline and lysine during collagen synthesis.

Step 1:
Identify clinical syndrome.
The symptoms suggest: \[ \text{Scurvy} \] which is due to vitamin C deficiency.

Step 2:
Recall enzyme affected.
Vitamin C is a cofactor for: \[ \text{Prolyl hydroxylase} \] and lysyl hydroxylase.

Step 3:
Choose the best option.
Among the options, the most likely enzyme deficiency is: \[ \text{Prolyl hydroxylase} \]
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