妊娠期间异食癖：一种不常见的表现。
Pica in Pregnancy: An Unusual Presentation.
机构信息
University of New Mexico School of Medicine, the Presbyterian Infusion Center; the Department of Pathology, University of New Mexico, and the Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, New Mexico.
出版信息
Obstet Gynecol. 2017 Dec;130(6):1377-1379. doi: 10.1097/AOG.0000000000002365.
BACKGROUND
Pica is common in pregnancy and is often felt to be benign. The following case of severe pica presenting without anemia is unusual in its presentation, laboratory findings, and treatment.
CASE
A 31-year-old multiparous woman at 37 0/7 weeks of gestation presented with esophagitis and gastritis secondary to laundry detergent consumption. She had borderline anemia (hemoglobin of 11 g/dL and hematocrit of 37%, mean corpuscular volume 80%) but was severely iron-deficient (serum ferritin 7 micrograms/dL). Parenteral iron infusion was associated with dramatic resolution of her cravings within 36 hours of treatment.
CONCLUSION
Pica may be related to deficient iron stores in the absence of anemia and can result in serious morbidity. Parenteral iron may be associated with rapid pica resolution in symptomatic pregnant patients.
背景
妊娠期间常发生异食癖，通常认为是良性的。以下病例表现为严重的异食癖，无贫血，其表现、实验室检查和治疗均不常见。
病例
一位 31 岁多产妇，妊娠 37 周零 7 天，因食用洗衣液而患有食管炎和胃炎。她有轻度贫血（血红蛋白 11g/dL，血细胞比容 37%，平均红细胞体积 80%），但严重缺铁（血清铁蛋白 7μg/dL）。静脉铁输注治疗 36 小时内，她的嗜食症状迅速缓解。
结论
异食癖可能与贫血无关的铁储存不足有关，并可能导致严重的发病率。在有症状的妊娠患者中，静脉铁可能与快速缓解异食癖有关。
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