Pitfalls in the approach to pica

  title={Pitfalls in the approach to pica},
  author={Maria Fotoulaki and P. Panagopoulou and Ioannis Efstratiou and Sanda Nousia-Arvanitakis},
  journal={European Journal of Pediatrics},
We report here a case of pica with the aim of illustrating how a common gastrointestinal problem may be masked and treated as a psychiatric condition. A 12-year-old male was referred to our hospital for anorexia, nausea, vomiting, stool discoloration and weight loss. At 2.5 years of age, he manifested persistent iron deficiency anaemia. At 4 years, he started eating paper and was referred for psychiatric evaluation and follow-up. Six months prior to admission, he underwent psychotherapy. Upon… 
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  • S. Korman
  • Medicine
    The American journal of clinical nutrition
  • 1990
Underlying celiac disease should be considered in children with persistent pica and growth failure even if gastrointestinal disturbances are minimal, and in these cases pica evidently resulted from iron deficiency secondary to malabsorption.
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Results are consistent with a hypothesis that at least some cases of pica may usefully be conceptualised as lying within a compulsive-impulsive spectrum of symptoms and disorders.
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  • Med Clin (Barc)
  • 2002