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. 2016 Feb;28(2):116-20.
doi: 10.1002/2327-6924.12268. Epub 2015 May 5.

Ask about ice, then consider iron

Antoinette Rabel  1 , Susan F Leitman  2 , Jeffery L Miller  1
Affiliations

Ask about ice, then consider iron

Antoinette Rabel et al. J Am Assoc Nurse Pract. 2016 Feb.

Abstract

Background and purpose: The study aims to review a condition defined by the desire to consume ice in order to satisfy an addictive-like compulsion, rather than for purposes of hydration or pain relief. This condition is called ice pica, or pagophagia. Associations between ice pica and iron deficiency, suggestions for clinical screening of at risk populations, and recommendations for treatment and follow-up care are provided.

Data sources: An extensive literature review of original research articles, reviews, clinical practice manuscripts, and scientific publications on pica and pagophagia.

Conclusions: A compulsion or craving for the consumption of ice is often overlooked in clinical practice. It is therefore important for clinicians to include ice pica as part of the review of systems for certain patient populations. Ice pica is frequently associated with iron deficiency, and iron supplementation is an effective therapy in most cases.

Implications for practice: Knowledge gained from screening for ice pica can generate valuable patient information and lead to the diagnosis and treatment of iron deficiency. The populations at risk include young women and blood donors of either sex.

Keywords: Pica; hemorrhage; iron deficiency; menstruation; pagophagia; pregnancy; review.

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References

    1. Alleyne M, Horne MK, Miller JL. Individualized treatment for iron-deficiency anemia in adults. American Journal of Medicine. 2008;121(11):943–8. - PMC - PubMed
    1. Asma S, Boga C, Ozdogu H, Serin E. The association of pagophagia with Helicobacter pylori infection in patients with iron-deficiency anemia. International Journal Hematology. 2009;90(1):28–32. - PubMed
    1. Barton JC, Baton JC, Bertoli LF. Pica associated with iron deficiency or depletion: clinical and laboratory correlates in 262 non-pregnant adult outpatients. BioMed Central Blood Disorders. 2010 Dec 22;10:9. - PMC - PubMed
    1. Bhatia MS, Kaur N. Pagophagia – a common but rarely reported form of pica. Journal of Clinical Diagnosis and Research. 2014;8(1):95–6. - PMC - PubMed
    1. Brown WD, Dynment PG. Pagophagia and iron deficiency anemia in adolescent girls. Pediatrics. 1972;49(5):766–7. - PubMed

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