Barton James C, Barton J Clayborn, Bertoli Luigi F
Southern Iron Disorders Center, Birmingham, AL 35209, USA; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA; Department of Medicine, Brookwood Medical Center, Birmingham, AL 35209, USA.
Southern Iron Disorders Center, Birmingham, AL 35209, USA.
Case Rep Med. 2016;2016:8159302. doi: 10.1155/2016/8159302. Epub 2016 Jan 4.
Reports of pica for uncooked rice (ryzophagia) in adults who reside in European and derivative countries are uncommon. We evaluated and treated two nonpregnant women with pica for uncooked basmati rice. Both women reported fatigue, abdominal discomfort after consuming large quantities of uncooked basmati rice, and hair loss. One woman was from India and the other was from Pakistan. Both women were vegetarians. Basmati was the local rice in their native countries and their usual rice in the USA. Both women had tooth damage due to eating uncooked rice and iron deficiency with microcytic anemia attributed to menorrhagia and multiparity. Ryzophagia and other manifestations (except tooth damage) resolved after iron dextran therapy. We review and discuss other reports of ryzophagia associated with iron deficiency, pregnancy, race/ethnicity, geographic origin, and local traditions. We conclude that adults with ryzophagia in European and derivative countries are likely to be non-Europeans.
居住在欧洲及衍生国家的成年人中，食用生米（食米癖）的报道并不常见。我们评估并治疗了两名患有食用生印度香米癖的非孕妇。两名女性均报告有疲劳、大量食用生印度香米后腹部不适以及脱发症状。一名女性来自印度，另一名来自巴基斯坦。两名女性均为素食者。印度香米是她们祖国的当地大米，也是她们在美国常吃的大米。两名女性均因食用生米导致牙齿损伤，并因月经过多和多产导致缺铁性小细胞贫血。右旋糖酐铁治疗后，食米癖和其他症状（牙齿损伤除外）得到缓解。我们回顾并讨论了其他与缺铁、妊娠、种族/民族、地理起源和当地传统相关的食米癖报告。我们得出结论，在欧洲及衍生国家，患有食米癖的成年人很可能是非欧洲人。
