![]() ![]() Patient complained of an unusual sensation in her abdomen for the last 3 months while her parents gave a history of habitual consumption of nails for the same duration. The patient was referred from surgery OPD and was brought in by her parents. ![]() The patient was a 27 year old young Indian lady living in the Baruipur with no previous psychiatric or medical history. The present case report warrants the need to look into this entity more closely with regards to its occurrence and etiology. Pica has been mentioned in Diagnostic and Statistical Manual IV TR. Whether the pica is an eating disorder or obsessive compulsive disorder is still controversial. Moreover the onset of the disease at a late age and different psychodynamic issues make the case all the more interesting. There unique conglomeration of cultural, psychodynamic and physiological determinants which together is responsible for this unusual habit of this lady. On query it was known that the lady is having same sex relationship over years. A young lady with unusual sensation in her abdomen was found to consume iron nails over years and there was history of dyspareunia since her marriage three months back. In this article we present a case of adult onset pica. Reports of pica in elderly age group are relatively uncommon and rarely does it have an adult onset. Pica has been reported widely in pediatric age group and often found to be co existing with obsessive compulsive or major depressive disorder. doi:10.1016/j.jbct.2020.10.Pica has been considered as the ingestion of inedible substances or atypical food combinations. Journal of Behavioral and Cognitive Therapy. Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder. ![]() Thomas JJ, Becker KR, Breithaupt L, et al. Pica in persons with developmental disabilities: Approaches to treatment. Matson JL, Hattier MA, Belva B, Matson ML. Journal of Intellectual & Developmental Disability. Pica in people with intellectual disability: a literature review of aetiology, epidemiology and complications. Muller Journal of Medical Sciences and Research. Pica in children with tetralogy of Fallot: Report of two cases. Pica: an age-old eating disorder that's often missed. Hartmann AS, Becker AE, Hampton C, Bryant-Waugh R. International Journal of Eating Disorders. Development of the Pica, ARFID, and rumination disorder interview, a multi‐informant, semi‐structured interview of feeding disorders across the lifespan: A pilot study for ages 10–22. American Psychiatric Association 2013.Ĭall C, Walsh BT, Attia E. Diagnostic and Statistical Manual of Mental Disorders. Pica disorder among African American women: A call for action and further research. Epidemiology of eating disorders in Africa. Journal of Clinical Psychology in Medical Settings. A systematic review of the effectiveness of behavioural treatments for pica in youths. Moline, R, Hou, S, Chevrier, J, Thomassin, K. Handbook of Childhood Psychopathology and Developmental Disabilities Treatment. Pica in individuals with developmental disabilities. Pica: A common condition that is commonly missed - an update review. ![]()
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