It is held that swallowing of ice cubes maybe explained by the analgesic properties of ice cubes to relieve glossal pain associated with iron deficiency but it is not clear why a patient would develop a preference substances that have no analgesic properties such as the rubber bands [9]. Both our patients responded well to managing the primary cause of blood loss and iron supplementation. Iron-deficiency anemia and malnutrition are two of the most common causes of pica, followed by pregnancy. Diagnosing pica should be accompanied by tests for anemia, potential intestinal blockages, and toxic side effects of substances consumed (i.e., lead in paint, bacteria or parasites from dirt). Pica is the ingestion of nonfood items with wool sucking being a form of pica, in which the cat sucks on the material but may not ingest it. Anemia is defined as a decrease in hemoglobin or hematocrit levels below the 2.5th percentile for age, race, and sex. J Med Case Reports. List of causes of Pica and Anemia, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. It might also be a sign that something in your body is out of balance. A 16-year-old school girl presented with a history of intermittent epistaxes. World J Biol Psychiatry.2009 Jan 1;10(4–3):936–8. The consumption of dirt, clay, and chalk for the nutritional value that they might contain is called geophagy (1). Kettaneh A, Eclache V, Fain O, Sontag C, Uzan M, Carbillon L, et al. Talk to our Chatbot to narrow down your search. A historical assessment. Keywords: pica, eating disorder, iron deficiency anaemia, case report. The definition is occasionally broadened to include the chewing non-nutritive substances. Lead levels should always be checked in children who may have eaten paint or objects covered in lead paint dust to screen for lead poisoning. Thrombocytosis occurred only in women and was more prevalent in those with pica (20.4% vs. 8.3%; p = 0.0050). Instead, the diagnosis is made from a clinical history of the patient. You can call our confidential Helpline Monday-Thursday from 11am to 9pm ET, and Friday from 11am to 5pm ET. Mohave County US. Looking for the definition of PICA? Most physicians believe pica is an effect rather than a cause of iron deficiency [9]. We describe the case of a 31-year-old woman with recurrent calcium nephrolithiasis and anemia who ate ice chips as well as spoons of salt daily. Over the past two months she had progressively increased the habit of eating clay, cold drinks and ice packs: behaviour that was accompanied by dizziness and awareness of her heart beat. A lesson on pica. Lacey EP. Pagophagia is a form of pica that involves craving and compulsively consuming ice. Public Health Rep Wash DC 1974.1990 Feb;105(1):29–35. a Department of Internal Medicine (Division of Psychiatry), School of Medicine and Dentistry, The University of Dodoma, Dodoma, Tanzania, b Paradise Specialized Clinic, Mbeya, Tanzania, c Department of Internal Medicine, School of Medicine and Dentistry, The University of Dodoma, Dodoma, Tanzania, Correspondence: Azan A Nyundo [email protected]. Dumaguing NI, Singh I, Sethi M, Devanand DP. All vital signs were stable. Pica and food craving in patients with iron-deficiency anemia: a case-control study in France. A craving to constantly chew on non-food or non-nutritive substances can be a sign of an eating disorder called pica. Talk … The condition is often associated with iron deficiency with the majority of cases responding well to iron replacement [9]. In children under two years of age, mouthing objects—or putting small objects in their mouth—is a normal part of development, allowing the child to explore their senses. Visit to know long meaning of PICA acronym and abbreviations. Although the condition has been documented since antiquity [5], many sufferers are diagnosed with life- threatening complications such as intestinal obstruction, electrolyte imbalances, renal and liver damage [4,6]. Conclusion: Despite being practised for centuries, the clinical significance of pica symptoms is often not recognised particularly among the younger physicians. In 1985, Shapiro and Linus described a 33-year-old woman with hypertension and history of dysfunctional uterine bleeding who experienced very similar salt cravings and was diagnosed with salt pica secondary to iron deficiency anemia [4]. The ingestion of the substance(s) is not a part of culturally supported or socially normative practice (e.g., some cultures promote eating clay as part of a medicinal practice). She reported a history of periodic dizziness with an episode of fainting. 2010;4:86. Parry-Jones B, Parry-Jones WL. Generally, those with pica are not averse to ingesting food. Copyright 2010-2012 South Sudan Medical Journal. The persistent eating, over a period of at least one month, of substances that are not food and do not provide nutritional value. Pica, the ingestion of substances that are inappropriate for consumption, is associated with iron deficiency and may be under-diagnosed. Pica may be benign, or it may have life-threatening consequences [1]. Coltman described a form of pica, compulsive ice eat- ing, that he called pagophagia.4 In double-blind studies, he found that iron-deficient ice eaters lost their craving for ice approximately 2 weeks after iron supplemen- tation. There are a few studies on serum trace element levels of patients with pica. All rights reserved. A high sodium diet increases risk for nephrolithiasis. Br J Psychiatry J Ment Sci. Vaginal examination revealed a blood-stained glove. Nineteen patients developed a second episode of iron deficiency or depletion; concordance of recurrent pica (or absence of pica) was 95%. This behaviour is linked to a condition called pica, where patients develop cravings for … Whenever the underlying cause for pica is related to some mineral or vitamin deficiency, it is very important to include food items rich with that particular mineral or vitamin in the daily diet as directed by the nutrition advisor. Geophagy ) have life-threatening consequences [ 1 ] ):936–8 as ice, rubber, it. The behaviour may just be a preference and enjoyment of the known causes for this eating.! Etamsylate injection and adrenaline nasal pack pica under the DSM-5 criteria [ 1 ] and they all well! This deficiency affects 9-16 % of adult women ( 1 ) testing for mineral or nutrient deficiencies correcting... Wash DC 1974.1990 Feb ; 105 ( 1 ):29–35 two weeks which! 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