Pagophagia and Iron Lack

Coltman, Charles A.

doi:10.1001/jama.1969.03150160025005

Cited by 95 publications

(35 citation statements)

References 7 publications

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“…Bu durum tıbbi yazında yüzyıllardır betimlenmektedir (Coltman 1969, Kushner ve ark. 2004Grotegut ve ark.…”

Section: Discussionunclassified

“…1995). İlk bildirilen pika vakalarından biri İsa'dan önce 6. yüzyılda hamile bir kadındır (Coltman 1969). O günden bu yana buz küpü (pagofaji), kil (jeofaji), kurumuş makarna (amilofaji), tebeşir, nişasta, macun, kayeksalat reçinesi (resinfaji), domates, limon, sigara izmariti, saç, kurşun ve çamaşır deterjanı tüketen vakalar bildirilmiştir (Coltman.…”

Section: Discussionunclassified

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Pagophagia in a Female with Recurrent Depressive Disorder: A Case Report with Review of Literature

Mehra¹,

Sharma²,

Grover³

2018

Turkish Journal of Psychiatry

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ÖZET"Pika", toz, tebeşir veya kağıt gibi besin değeri olmayan yiyecek dışı maddeleri yemeye yönelik güçlü bir istektir. Pikanın özel bir çeşidi olan pagofaji buz veya donmuş içeceklerin tüketilmesi ile karakterizedir. Genellikle demir eksikliği anemisi veya zihinsel engellilik, otizm gibi mental bozukluklarla ilişkilendirilmektedir. Literatürde buz küplerinin tüketiminin zorlantılı davranış veya depresif bozukluklarla ilişkilendiren nadir olgu bildirimleri vardır. Bu olgu sunumunda pagofajinin tekrarlayan majör depresif bozuklukla ilişkisi bir kadın hasta üzerinden sunulmuştur. Kırk dört yaşında tekrarlayan majör depresif bozukluğu olan bir kadın hasta buz küplerini tüketmeye duyduğu ve karşı koyamadığı güçlü bir istek nedeni ile başvurmuştur. Hasta yalnız buz küplerini veya donmuş içecekleri tükettiği zaman rahatlayabilmektedir. Hastanın günlük tükettiği buz kübü miktarı ilk başlarda 250-500 g iken zamanla 10-12 kg'a kadar çıkmıştır. Hastanın bu belirtilerinin depresif duygudurum ve stres ile ilişkili olduğu anlaşılmıştır. Buz tüketimi ile uğraşı belirgin psikososyal bozukluğa ve eşi ile ilişkisinde sorunlara yol açmıştır. Venlafaksin 187,5 mg/gün ve bilişsel davranışçı psikoterapi (bilişsel hataların belirlenmesi, alternatif düşünce üretme, problem çözme, etkinlik planlama, ustalık ve haz teknikleri) ile depresif belirtileri düzelen hastada pagofaji belirgin olarak gerilemiş ancak tamamen yok olmamıştır. Hasta psikolojik stresörlerle baş etmek için alternatif baş etme mekanizmaları kazanmıştır. "Pica" is the term used to describe craving for non-food and nonnutritive items like dirt, chalk, or paper. Pagophagia (compulsive ice chewing) is a particular form of pica that is characterized by ingestion of ice, freezer frost, or iced drinks. It is usually associated with iron deficiency anemia or mental abnormalities like intellectual disabilities, autism, etc. Very few case reports have reported association of eating ice cubes with compulsive behavior or depressive disorders. In this case report, we present the association of pagophagia with sadness in a patient with recurrent depressive disorder. A 44-year-old female suffering from depressive disorder since the age of 33 years presented with symptoms of an intense desire to eat ice cubes that she was unable to resist and would feel better only after consumption of ice cubes or iced drinks. Initially she would consume about 250-500 g of ice cubes per day, but gradually the quantity of consumption of ice increased to about 10-12 kg of ice cubes per day. These symptoms were related to low mood and stress. The preoccupation with consumption of ice was associated with significant psychosocial dysfunction and interpersona problems with the spouse. She was managed with venlafaxine 187.5 mg/day and cognitive behavior psychotherapy (identifying her cognitive errors, generating alternative thoughts, problem solving, activity scheduling and mastery, and pleasure technique) with which her depressive symptoms improved and her pagophagia reduced significantly but did not subsi...

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“…Bu durum tıbbi yazında yüzyıllardır betimlenmektedir (Coltman 1969, Kushner ve ark. 2004Grotegut ve ark.…”

Section: Discussionunclassified

Pagophagia in a Female with Recurrent Depressive Disorder: A Case Report with Review of Literature

Mehra¹,

Sharma²,

Grover³

2018

Turkish Journal of Psychiatry

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“…There is a debate, whether pica causes or is the consequence of the iron deficiency. According to Coltman [3] it seems almost conclusive that initially, iron deficiency is the cause and not the consequence of pica as suggested by Lanzkawsky [6]. Coltman [3] found that pica ceased within 2 weeks after the initiation of iron therapy and sooner when the treatment was administrated parenterally.…”

Section: Discussionmentioning

confidence: 99%

“…According to Coltman [3] it seems almost conclusive that initially, iron deficiency is the cause and not the consequence of pica as suggested by Lanzkawsky [6]. Coltman [3] found that pica ceased within 2 weeks after the initiation of iron therapy and sooner when the treatment was administrated parenterally. In our case the pica indeed stopped shortly after the beginning of the iron supplementation, supporting the theory that the pica is the consequence and not the cause of the deficiency.…”

Section: Discussionmentioning

confidence: 99%

An 8-year-old girl with an abdominal mass

Yogev

Katz

Phillip

1997

European Journal of Pediatrics

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“…Indeed, it has been proposed that pica may be either a cause or an effect of irondeficiency anaemia. [12][13][14][15][16][17] For example, in some patients with malnutrition who eat clay, iron deficiencies have been diagnosed. It is not known whether the deficiency prompted the ingestion of the clay or whether eating the clay resulted in the inhibition of iron-absorption as clay is thought to impair iron absorption by binding iron in the gut.…”

Section: Introductionmentioning

confidence: 99%