Butler William, Allen Luis
Department of Clinical Sciences, FSU College of Medicine, Orlando Regional Campus, 250 East Colonial Drive, Suite #200, Orlando, FL 32801, USA.
Case Rep Psychiatry. 2020 Oct 28;2020:8885503. doi: 10.1155/2020/8885503. eCollection 2020.
. Pica is a condition that is commonly missed in childhood. This condition occurs worldwide and is considered normal in children from ages 18- to- 36 months. It is also commonly seen in pregnant women due to associated nutritional deficiencies. Acuphagia is a subtype of pica which has been briefly described in the literature. Its classification has been speculated to belong on a spectrum of obsessive-compulsive disorders (OCD). This case involves Mr. C, a 16-year-old male with a history of depression, anxiety, and ten previous intentional foreign body ingestions involving sharp objects such as needles, forks, and thumbtacks. He states that he recently ate a nail and denies any current obsessions. He was admitted from a local involuntary receiving facility due to decreased bowel movements in the last week. Learning points and recommendations for practitioners are described.
异食癖是一种在儿童时期常被漏诊的病症。这种病症在全球范围内都有发生，在18至36个月大的儿童中被认为是正常现象。由于相关的营养缺乏，它在孕妇中也很常见。食针癖是异食癖的一种亚型，文献中曾有过简要描述。据推测，它的分类属于强迫症谱系障碍。本病例涉及C先生，一名16岁男性，有抑郁症、焦虑症病史，此前曾有十次故意吞食诸如针、叉子和图钉等尖锐物体的行为。他称自己最近吃了一枚钉子，否认目前有任何强迫观念。由于上周排便减少，他从当地的非自愿接收机构入院。文中描述了给从业者的学习要点和建议。
