19th century case of pica eating disorder12/11/2023 ![]() ![]() ![]() Tired throughout the day and doing household work was becoming She had decreased interest inĬarrying out daily routine work. Months because she felt constrained to her home as she was unable to On further detailedĮvaluation she reported of low mood consistently for the past 2 The fear of being caught in the act produced significant distress but whenĪlone it would facilitate aggravated consumption. On certain days she would end up consuming two to three A4 size sheets bit by bit. Gradually over the course of a week, she also started chewing on the ends of pencils and ice-cream No negative consequences the first time she ate a few pieces which further reinforced her interest. When alone at home, she felt like tasting those cardboard papers and ate a few pieces. Every time she unpacked toysįor her child, she would repeatedly smell the cardboard boxes and had an intense liking for the same. Post-partum period, was of an insidious onset and progressive nature. The onset of her symptomatology was eight months into her The psychiatry outpatient department with complaints of consuming paper and cardboard whenever History and no past history of any psychiatric illness or neurodevelopmental delay. Till degree, currently not working, belonging to middle socio-economic status family, with no family Mrs H, a 35 year old female, Hindu by religion, married with an eight month old male baby, studied Although most popular form of Xylophagia is theĬonsumption of paper, other forms have also been reported. Pencils, tree barks or other items made of wood. Has not been much reported is Xylophagia which involves the consumption of substances like paper, It has been observed in men and women of all ages and ethnicity,īut is more prevalent among the lower socioeconomic classes. Incidence of Pica has also been linked to ironĭeficiency, zinc deficiency and certain co-morbid conditions like Kleine-Levin syndrome, mental Of symptoms of Pica during depressive illness. Ĭases have also been reported in which patients with severe mental handicap have shown worsening In some adults and appropriate management of stress may alleviate the symptoms of Pica also. ![]() According to this article stressful scenarios may induce Pica Published in The World Journal of Biological Psychiatry, Bhatia “et al.” Describes a case of anĪdult female who had the habit of ingesting chalk only in stressful situations and was diagnosed as Stressors such as emotional trauma, maternalĭeprivation and disorganized family are strongly linked to pica as a form of comfort. Has been related to mental and emotional disorders. Incidence of Pica is thought to decrease withĪge one study has revealed that about 10% of children older than 12 years engage in Pica. An incidence of Pica greater than 50% isĬonsidered normal in children aged 18 to 36 months. Patients to admit to abnormal cravings and ingestion. Prevalence of pica is difficult to establish because of differences in definition and the reluctance of Pica and rumination disorders were moved from the Feeding disorders of Infancy and EarlyĬhildhood section of DSM-IV to the Feeding and Eating disorders chapter of DSM-5. ![]() Non-food substances are not limited to but include soil, hair, paper and soap. Items vary depending on the patients’ age and the availability of different materials. The course of 1 month, resulting in the need for specialized clinical attention. The central element of Pica is the repeated ingestion of non-nutritive, non-food substance over Keywords: Pica Depression Xylophagia Non-food substance Introduction She was diagnosed to have Xylophagia which is a form of Pica Here we are reporting a case of a 35 year old female presenting withĬonsumption of cardboard pieces. It is considered as a culturally approved practiceĪnd is not always pathological. It can occur secondary to nutritional deficiency or as a form ofĬomfort in people with psychosocial stressors. Pica is defined as the repeated and excessive consumption of non-nutritive, non-food substances *Corresponding author: Sathyanarayana Rao, Department ofĬite this article as: George M, Maheshwari S, Ram D, Manju George, Shreemit Maheshwari, Dushad Ram, Rajesh Raman and Sathyanarayana Raoĭepartment of Psychiatry, JSS University, Mysore, India Case Report A Case Report of a Female Patient with Pica ![]()
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