Iron deficiency anaemia and pica

Pica was a surprise finding in 8 cases of severe iron deficiency anaemia of unknown cause and 2 patients with pregnancy-related anaemia who had a mixed picture of iron deficiency and megaloblastic features owing to folic acid deficiency. The pica cases demonstrated an apparently consistent pattern:...

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Bibliographic Details
Published inSouth African medical journal Vol. 70; no. 8; pp. 473 - 475
Main Author MOKHOBO, K. P
Format Journal Article
LanguageEnglish
Published Pinelands Medical Association of South Africa 11.10.1986
Subjects
Adolescent
Adult
Anemia, Hypochromic - complications
Biological and medical sciences
Child
Female
Hematologic and hematopoietic diseases
Humans
Medical sciences
Other diseases. Hematologic involvement in other diseases
Pica - complications
Tropical medicine
Human
Affective disorder
Pica
Iron deficiency anemia
Africa
South Africa
Hemopathy
Psychopathology
Affective deficiency
Alimentary behavior disturbance
Stress
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Summary:Pica was a surprise finding in 8 cases of severe iron deficiency anaemia of unknown cause and 2 patients with pregnancy-related anaemia who had a mixed picture of iron deficiency and megaloblastic features owing to folic acid deficiency. The pica cases demonstrated an apparently consistent pattern: severe anaemia, young age, normal psychiatric assessment, good nutrition and lack of an overtly disadvantaged background. Pica was significantly absent in other forms of anaemia in a series of 53 subjects. The literature is briefly reviewed to highlight the unanswered questions about this disorder. The cases reported do not furnish any clues to the enigma of pica, but reveal an obscure form of idiopathic iron deficiency anaemia. Pica may be commoner than is thought.
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ISSN:0256-9574