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Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure

Pica is an unusual condition in which patients crave and chew substances with no nutritional value. Ice pica (pagophagia) is commonly seen in patient with iron deficiency. People chew ice cubes or add ice to their drinks to cool or refresh themselves, and they may not consider this as an abnormal be...

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Detalles Bibliográficos
Autores principales: Bedanie, Genanew, Tikue, Alay, Thongtan, Thanita, Zitun, Mohamed, Nugent, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384452/
https://www.ncbi.nlm.nih.gov/pubmed/32742885
http://dx.doi.org/10.7759/cureus.9330
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author Bedanie, Genanew
Tikue, Alay
Thongtan, Thanita
Zitun, Mohamed
Nugent, Kenneth
author_facet Bedanie, Genanew
Tikue, Alay
Thongtan, Thanita
Zitun, Mohamed
Nugent, Kenneth
author_sort Bedanie, Genanew
collection PubMed
description Pica is an unusual condition in which patients crave and chew substances with no nutritional value. Ice pica (pagophagia) is commonly seen in patient with iron deficiency. People chew ice cubes or add ice to their drinks to cool or refresh themselves, and they may not consider this as an abnormal behavior. Excessive ice chewing/eating can have significant health risks, including electrolyte abnormalities and metabolic disorders. We report a patient admitted to our hospital with severe hyponatremia and seizures due to iron deficiency-associated pagophagia. Ice pica leading to hyponatremia and seizure is not commonly seen in clinical practice. It was a challenging case and the patient was seen and investigated at outpatient clinic for polyuria, though an underlying cause was not identified. Patients may be secretive or reluctant to mention their pica habit. Studies have also shown that most physicians are unaware of pica and most cases can be easily missed.
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spelling pubmed-73844522020-07-30 Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure Bedanie, Genanew Tikue, Alay Thongtan, Thanita Zitun, Mohamed Nugent, Kenneth Cureus Family/General Practice Pica is an unusual condition in which patients crave and chew substances with no nutritional value. Ice pica (pagophagia) is commonly seen in patient with iron deficiency. People chew ice cubes or add ice to their drinks to cool or refresh themselves, and they may not consider this as an abnormal behavior. Excessive ice chewing/eating can have significant health risks, including electrolyte abnormalities and metabolic disorders. We report a patient admitted to our hospital with severe hyponatremia and seizures due to iron deficiency-associated pagophagia. Ice pica leading to hyponatremia and seizure is not commonly seen in clinical practice. It was a challenging case and the patient was seen and investigated at outpatient clinic for polyuria, though an underlying cause was not identified. Patients may be secretive or reluctant to mention their pica habit. Studies have also shown that most physicians are unaware of pica and most cases can be easily missed. Cureus 2020-07-21 /pmc/articles/PMC7384452/ /pubmed/32742885 http://dx.doi.org/10.7759/cureus.9330 Text en Copyright © 2020, Bedanie et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Bedanie, Genanew
Tikue, Alay
Thongtan, Thanita
Zitun, Mohamed
Nugent, Kenneth
Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title_full Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title_fullStr Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title_full_unstemmed Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title_short Pica/Pagophagia-Associated Hyponatremia: Patient Presenting With Seizure
title_sort pica/pagophagia-associated hyponatremia: patient presenting with seizure
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384452/
https://www.ncbi.nlm.nih.gov/pubmed/32742885
http://dx.doi.org/10.7759/cureus.9330
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