Current Approach to The Child with Pica

Yıl 2023, Cilt: 11 Sayı: 1, 31 - 33, 29.03.2023

Sadiye Sert

https://doi.org/10.21765/pprjournal.1233427

Öz

Pica is an eating disorder that is characterized by the ingesting of non-food substances. Although pica is common in young children, it is an overlooked condition. Although the etiology of pica is not known for certain, some hypotheses are emphasized. The prevalence of pica varies according to societies. Pica is a clinical diagnosis based on the The Diagnostic and Statistical Manual of Mental Disorders-V diagnostic criteria. In children, pica management can be achieved with a multidisciplinary approach. It should be acted on together with child psychiatry. Patient and family education are important. If there are nutritional deficiencies such as iron or zinc deficiency, it should be replaced. This review provides important information about the current approach to the child with pica. It will also shed light on the evaluation of children with a history of pica.

Anahtar Kelimeler

Child, eating disorder, iron deficiency, pica, zinc deficiency

Pikalı çocuğa güncel yaklaşım

Öz

Pika, gıda dışı maddelerin yutulması ile karakterize olan bir yeme bozukluğudur. Pika küçük çocuklarda sık görülmesine rağmen gözden kaçan bir durumdur. Pika etiyolojisi kesin olarak bilinmemekle birlikte bazı hipotezler üzerinde durulmaktadır. Pika prevalansı toplumlara göre değişmektedir. Pika, Teşhis ve Mental Bozuklukların İstatistiksel El Kitabı-V tanı kriterlerine dayalı bir klinik tanıdır. Çocuklarda multidisipliner bir yaklaşımla pika yönetimi sağlanabilir. Çocuk psikiyatrisi ile birlikte hareket edilmelidir. Hasta ve aile eğitimi önemlidir. Demir veya çinko eksikliği gibi beslenme eksiklikleri varsa yerine konmalıdır. Bu derleme pikalı çocuğa güncel yaklaşım hakkında önemli bilgiler sunmaktadır. Pika öyküsü olan çocukların değerlendirilmesine de ışık tutacaktır.

Anahtar Kelimeler

Child, eating disorder, iron deficiency, pica, zinc deficiency

Kaynakça

• 1. McNaughten B, Bourke T, Thompson A. Fifteen-minute consultation: the child with pica. Arch Dis Child Educ Pract Ed 2017;102:226-229.
• 2. Cardoso, D, Duarte L, Fonseca-Pinto V, Cartaxo T. Pica and attention deficit hyperactivity disorder: is there a link?. Nascer & Crescer-Birth and Growth Medical Journal, 2021;30:12-17.
• 3. Leung AKC, Hon KL. Pica: A Common Condition that is Commonly Missed - An Update Review. Curr Pediatr Rev. 2019;15:164-169.
• 4. Osman YM, Wali YA, Osman OM. Craving for ice and iron deficiency anemia: A case series from Oman. Pediatr Hematol Oncol 2005;22:127-31.
• 5. O’Brien M. Pica. In: Matson, JL. Handbook of intellectual disabilities. Springer, 2019. p. 606-627.
• 6. Hartmann AS, Poulain T, Vogel M, Hiemisch A, Kiess W, Hilbert A. Prevalence of pica and rumination behaviors in German children aged 7-14 and their associations with feeding, eating, and general psychopathology: a population-based study. Eur Child Adolesc Psychiatry 2018;27:1499-1508.
• 7. Ardeshirian KA, Howarth DA. Esperance pica study. Aust Fam Physician 2017;46:243-8.
• 8. Borgna-Pignatti C, Zanella S. Pica as a manifestation of iron deficiency. Expert Rev Hematol 2016;9:1075-80.
• 9. Okcuoglŭ A, Arcasoy A, Minnich V, Tarcon Y, Cin S, Yörükoğlu O, Demirag B, Renda F. Pica in Turkey. 1. The incidence and association with anemia. Am J Clin Nutr 1966;19:125-31.
• 10. Cavdar AO, Arcasoy A. Hematologic and biochemical studies of Turkish children with pica. A presumptive explanation for the syndrome of geophagia, iron deficiency anemia, hepatosplenomegaly and hypogonadism. Clin Pediatr (Phila) 1972;11:215–23.
• 11. Bay A, Dogan M, Bulan K, Kaba S, Demir N, Öner AF. A study on the effects of pica and iron-deficiency anemia on oxidative stress, antioxidant capacity and trace elements. Human & Experimental Toxicology 2013;32:895-903.
• 12. Mishori R, McHale C. Pica: an age-old eating disorder that's often missed. J Fam Pract 2014;63:E1-4.
• 13. Hackworth SR, Williams LL. Pica for foam rubber in patients with sickle cell disease. South Med J 2003;96:81-3.
• 14. Höger A, Hartmann, AS. Pica. In: Manzato, E., Cuzzolaro, M., Donini, L.M. (eds) Hidden and Lesser-known Disordered Eating Behaviors in Medical and Psychiatric Conditions . Springer, 2022, Cham. https://doi.org/10.1007/978-3-030-81174-7_15
• 15. Özsoylu Ş. Clinical picture in hematology. Turk J Haematol. 2015;32:89.
• 16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.