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罕见的以肥皂摄入为表现形式的异食癖病例报告并文献复习。

A Rare Presentation of Pica Disorder in Soap Ingestion Variant: Case Report and Review.

机构信息

Department of Psychiatry, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

出版信息

J Nerv Ment Dis. 2024 Feb 1;212(2):117-119. doi: 10.1097/NMD.0000000000001716.

Abstract

Pica indicates the persistent ingestion of inedible substances over a period of at least 1 month, being discordant to the individual's cognitive development level and not directly attributable to cultural or social normative practices. The literature suggests that the prevalence of pica varies significantly according to the social and clinical context. It can co-occur with psychiatric disorders, with its etiology being poorly understood and most likely multifactorial. In this article, we report the case of a patient in her 50s with a clinical setting compatible with soap ingestion variant of pica disorder. In addition to the variety of ingested substances, pica can be associated with heterogeneous behavior, mainly of the obsessive-compulsive spectrum. Despite recent research, this condition is still a target of much speculation. This is a very rare and challenging presentation of a soap ingestion variant of pica with very few similar cases described to date.

摘要

异食癖是指在至少 1 个月的时间内持续摄入不可食用的物质,与个体的认知发展水平不一致,不能直接归因于文化或社会规范实践。文献表明,异食癖的患病率根据社会和临床环境的不同而有很大差异。它可能与精神障碍同时发生,其病因尚不清楚,很可能是多因素的。在本文中,我们报告了一位 50 多岁女性的病例,其临床情况符合异食癖中肥皂摄入变异型。除了摄入的物质种类繁多外,异食癖还可能与各种行为有关,主要是强迫性的。尽管最近进行了研究,但这种情况仍然存在很多猜测。这是一种非常罕见且具有挑战性的肥皂摄入变异型异食癖表现,迄今为止描述的类似病例很少。

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