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Pica
Aka: Pica, Pagophagia, Geophagia, Amylophagia, Trichophagia
- Definition of Pica
- DSM-IV Definition
- Persistent eating of nonnutritive substances
- Eating habits persist for 1 month or more
- No associated food aversion
- Derived from Latin for Magpie
- Bird with unusual eating habits
- Symptoms: Voracious consumption of unusual substances
- Ice (Pagophagia)
- Clay (Geophagia)
- Starch (Amylophagia)
- Hair (Trichophagia)
- Associated conditions
- Pregnancy
- Iron Deficiency Anemia
- Obsessive Compulsive Disorder
- Complications
- Acute or chronic toxicity
- Heavy metal Poisoning (e.g. Lead Poisoning)
- Vitamin or Electrolyte deficiency
- Hypokalemia
- Hyperkalemia
- Iron Deficiency Anemia
- Zinc Deficiency
- Intestinal Obstruction
- Bezoar associated with Trichophagia
- Foreign Body Ingestion
- Malnutrition
- Failure to Thrive
- Achlorhydria
- Dental injury
- Parasitic Infection
- Labs
- Complete Blood Count
- Lead level
- Serum Ferritin
- Serum Iron
- Radiology
- Abdominal XRay
- Management
- General nutrition counseling
- Manage associated conditions
- Iron Deficiency Anemia
- Lead Poisoning
- Parasitic Infection
- Intestinal Obstruction
- Mental health counseling
- Selective Serotonin Reuptake Inhibitor (SSRI)
- References
- Rose (2000) J Am Board Fam Pract 13:358-8 [PubMed]