Grotegut Chad A, Dandolu Vani, Katari Sunita, Whiteman Valerie E, Geifman-Holtzman Ossie, Teitelman Melissa
Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):484-6. doi: 10.1097/01.AOG.0000203666.99256.ed.
We report a case of baking soda pica in a woman at 31 weeks of pregnancy causing severe hypokalemic metabolic alkalosis and rhabdomyolysis.
A multigravida at 31 weeks of gestation presented with weakness and muscle pain. She was found to have severe hypokalemic metabolic alkalosis and rhabdomyolysis, with elevation in serum transaminases and hypertension. We initially thought the patient had an atypical presentation of preeclampsia until it was realized that she was ingesting 1 full box of baking soda (454 g sodium bicarbonate) per day. Symptoms and abnormal laboratory findings resolved with discontinuation of the patient's pica practices.
Pica is a common but often overlooked practice that can potentially lead to life-threatening disorders. A thorough evaluation of a patient's dietary intake is extremely important, especially in the setting of atypical presentations of disease in pregnancy.
我们报告一例妊娠31周女性食用小苏打异食癖，导致严重低钾性代谢性碱中毒和横纹肌溶解症。
一名妊娠31周的经产妇出现乏力和肌肉疼痛。她被发现患有严重低钾性代谢性碱中毒和横纹肌溶解症，伴有血清转氨酶升高和高血压。我们最初认为该患者为先兆子痫的非典型表现，直到发现她每天摄入一整盒小苏打（454克碳酸氢钠）。随着患者异食癖行为的停止，症状和异常实验室检查结果得以缓解。
异食癖是一种常见但常被忽视的行为，可能导致危及生命的疾病。对患者饮食摄入进行全面评估极为重要，尤其是在妊娠疾病非典型表现的情况下。
