II. Background
- Derived from Latin for Magpie
- Bird with unusual eating habits
III. Diagnosis: Pica (DSM-V Definition)
- Persistent eating of nonnutritive, non-food substances
- Eating habits persist for 1 month or more
- No associated food aversion
- Not appropriate for developmental stage
IV. Symptoms: Voracious consumption of unusual substances
- Ice (Pagophagia)
- Clay (Geophagia)
- Starch (Amylophagia)
- Hair (Trichophagia)
V. Associated conditions
VI. Complications
- Acute or chronic toxicity
- Vitamin or Electrolyte deficiency
-
Intestinal Obstruction
- Bezoar associated with Trichophagia
- Foreign Body Ingestion
-
Malnutrition
- Failure to Thrive
- Achlorhydria
- Dental injury
- Parasitic Infection
VII. Labs
- Complete Blood Count
- Serum Ferritin
- Serum Iron
- Lead level
VIII. Radiology
- Abdominal XRay
IX. Management
- General nutrition counseling
- Manage associated conditions
- Mental health counseling
- Selective Serotonin Reuptake Inhibitor (SSRI)
X. References
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Related Studies
| Definition (NCI) | An eating disorder characterized by the persistent eating of nonnutritive substances such as clay or soil; this behavior must be inappropriate to the level of the individual's development. |
| Definition (MSH) | The persistent eating of nonnutritive substances for a period of at least one month. (DSM-IV) |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| MSH | D010842 |
| ICD9 | 307.52 |
| SnomedCT | 268779001, 154938001, 14077003 |
| DSM4 | 307.52 |
| English | Pica, pica, craving unusual or nonfood items (pica) (symptom), pica (diagnosis), craving unusual or nonfood items (pica), craving unusual or nonfood items, Pica [Disease/Finding], pica disorder, pica eating disorder, Pica Eating Disorder, Pica Disease, Abnormal craving, Eats abnormal objects, Pica (disorder), pica; in |
| Japanese | 異食症, ｲｼｮｸｼｮｳ |
| Swedish | Pica |
| Czech | chuť těhotných na zvláštní jídla, chuť na nepoživatelné látky, Pika, pika, pica |
| Finnish | Pica |
| Russian | APPETIT IZVRASHCHENNYI, PIKATSIZM, АППЕТИТ ИЗВРАЩЕННЫЙ, ПИКАЦИЗМ |
| Polish | Geofagia, Pica, Łaknienie opaczne |
| Hungarian | Pica |
| Norwegian | Pica |
| Portuguese | Amilofagia, Picacismo, Pica |
| Dutch | pica; bij, pica, Pica |
| Spanish | apetencia anormal, pica (trastorno), pica, Pica |
| French | Pica |
| German | Pica, Pikazismus |
| Italian | Pica |
Ontology: Geophagia (C0232480)
| Definition (MSH) | Compulsive eating of dirt. |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| MSH | D010842 |
| SnomedCT | 5917004 |
| Dutch | geofagie, Geofagie |
| Italian | Geofagia, Geophagia |
| Japanese | 土食症, ﾂﾁｼｮｸｼｮｳ, ﾄﾞｼｮｸｼｮｳ |
| Portuguese | Geofagia |
| Spanish | Geofagia, deglución de tierra, geofagia (hallazgo), geofagia, geofagismo |
| French | Géophagie |
| German | Geophagie |
| Czech | Geofagie, geofágie |
| Hungarian | Földevés |
| Norwegian | Geofagi |
| English | Geophagia (finding), Geophagia |
Ontology: Habitual eating of own hair (C0584961)
| Concepts | Mental or Behavioral Dysfunction (T048) |
| SnomedCT | 5125001 |
| English | Trichophagia, Habitual eating of own hair, Habitual eating of own hair (finding) |
| Dutch | trichofagie |
| French | Trichophagie |
| German | Trichophagie |
| Italian | Tricofagia |
| Portuguese | Tricofagia |
| Spanish | Tricofagia, tricofagia (hallazgo), tricofagia habitual (hallazgo), tricofagia habitual, tricofagia |
| Japanese | 食毛症, ｼｮｸﾓｳｼｮｳ |
| Czech | Trichofagie |
| Hungarian | Trichophagia |
