Pica in Pregnancy: An Unusual Presentation

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Nutritional Science

Background:

• Pica, the compulsive consumption of non-food items, is frequently observed during pregnancy.
• While often considered benign, severe cases can present unique challenges and risks.
• This case highlights an unusual presentation of severe pica during gestation.

Observation:

• A 31-year-old pregnant woman (37 weeks gestation) presented with esophagitis and gastritis attributed to consuming laundry detergent.
• Laboratory results revealed borderline anemia but severe iron deficiency (serum ferritin 7 µg/dL).

Findings:

• The patient's pica was linked to profound iron deficiency, despite only borderline anemia.
• Parenteral iron infusion was administered for treatment.

Implications:

• Severe pica in pregnancy can occur with iron deficiency even without overt anemia.
• Parenteral iron therapy may offer a rapid and effective resolution for symptomatic pregnant patients with pica.
• Highlights the importance of assessing iron status in pregnant women with pica, regardless of anemia status.