Our findings challenge the cause-effect relation between micronutrient deficiency and pica and prompts further research in the non-adaptive theories of this poorly understood clinical entity.Īnaemia Copper Feeding and eating disorders Pica Schizophrenia Sideroblastic Zinc. In many cases, concerning eating behaviors disappear as deficiencies are corrected. The first-line treatment for pica involves testing for mineral or nutrient deficiencies and correcting those. Based on temporal relationship, we propose that there might be an association between copper supplementation and pica, not related to its plasma levels.Īs far as we know, this is the first case report in the literature with such a long-term follow-up of pica treatment. This article explains pica symptoms and health issues that may follow the ingestion of non-food material. Pica can be associated with intellectual disability, trichotillomania (hair pulling disorder), and excoriation (skin picking) disorder. One week after, pica behaviours reoccurred, with further remission with renewed copper treatment. Results demonstrate that behavioral interventions are highly effective treatments for pica, as determined by the large effect size for individual participants (. After 2-year remission, the patient was discontinued on oral copper. These behaviours ceased with copper supplementation. Objectives: The authors present a case report of pica treated with copper supplementation, with further diagnostic and treatment considerations. If third-party clinical review (also known as peer review) is required by a healthcare funder. These recommendations are based on two extensive reviews of the literature and our extensive experience as practitioners in the treatment of pica. A review was conducted using PubMed database.Ī 59-year-old patient, diagnosed with paranoid schizophrenia, presented with sideroblastic anaemia secondary to zinc-induced copper deficiency in the context of pica. of the treatment plan by behavior technicians, caregivers. We make recommendations for assessment, treatment, and prevention of pica for practitioners. The authors present a case report of pica treated with copper supplementation, with further diagnostic and treatment considerations.Ĭlinical records and interviews were used. Its aetiology is still unknown, as its prevalence and optimal treatment, which seem to vary with patients' characteristics and the specific behaviours involved. Pica is defined as a feeding and eating disorder where there is consumption of nonnutritive substances not consistent with cultural practices or social norms.
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