A Spongy Appetite: A Case of Pica.

anaemia eating disorders iron deficiency non-food substances pica

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2024
Historique:
accepted: 06 08 2024
medline: 9 9 2024
pubmed: 9 9 2024
entrez: 9 9 2024
Statut: epublish

Résumé

Pica is an eating disorder defined as the compulsive and repeated ingestion of substances that have no nutritional value for at least one month. This condition may be hard to diagnose without complications, as a high degree of suspicion is needed. The subject in this case was a teenager who presented with asthenia and unspecific abdominal pain. The etiological workup showed no abnormalities other than mild anemia and iron and folate deficiencies. After a thorough anamnesis, the patient's mother mentioned sporadic ingestion of synthetic mattress foam since childhood, which had become more frequent in the previous year. With this key information, it was possible to establish a diagnosis before serious complications occurred and thus help the patient get the necessary assistance by referring them to pediatrics, nutrition, and child and adolescent psychiatry consultations. This case report highlights the importance of a detailed anamnesis, particularly when dealing with unspecific symptoms, exploring the possibility of disorders that are rarely thought of, such as pica. It also recaps how important it is to address sensitive topics like eating disorders and create an open environment with no judgment, as these attitudes are crucial to ensuring the correct diagnosis and providing the best care for patients.

Identifiants

pubmed: 39246937
doi: 10.7759/cureus.66399
pmc: PMC11379449
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

e66399

Informations de copyright

Copyright © 2024, Miranda Paulo et al.

Déclaration de conflit d'intérêts

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Auteurs

Inês Miranda Paulo (I)

Family Medicine, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Carla Marques (C)

Family Medicine, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Mariana Serra (M)

Family Medicine, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Carlota Âmbar Botelho (C)

Family Medicine, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Ana Alcoforado (A)

Family Medicine, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Catarina M Pires (CM)

General Practice, Family Health Unit Travessa da Saúde, Local Health Unit São José, Lisbon, PRT.

Classifications MeSH