II. Definition of Pica

  1. DSM-IV Definition
    1. Persistent eating of nonnutritive substances
    2. Eating habits persist for 1 month or more
    3. No associated food aversion
  2. Derived from Latin for Magpie
    1. Bird with unusual eating habits

III. Symptoms: Voracious consumption of unusual substances

  1. Ice (Pagophagia)
  2. Clay (Geophagia)
  3. Starch (Amylophagia)
  4. Hair (Trichophagia)

IV. Associated conditions

V. Complications

  1. Acute or chronic toxicity
    1. Heavy metal Poisoning (e.g. Lead Poisoning)
  2. Vitamin or electrolyte deficiency
    1. Hypokalemia
    2. Hyperkalemia
    3. Iron Deficiency Anemia
    4. Zinc Deficiency
  3. Intestinal Obstruction
    1. Bezoar associated with Trichophagia
    2. Foreign Body Ingestion
  4. Malnutrition
    1. Failure to Thrive
    2. Achlorhydria
  5. Dental injury
  6. Parasitic Infection

VII. Radiology

  1. Abdominal XRay

VIII. Management

  1. General nutrition counseling
  2. Manage associated conditions
    1. Iron Deficiency Anemia
    2. Lead Poisoning
    3. Parasitic Infection
    4. Intestinal Obstruction
  3. Mental health counseling
  4. Selective Serotonin Reuptake Inhibitor (SSRI)

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Ontology: Pica Disease (C0031873)

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, ドショクショウ
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