![]() ![]() Within age groups, patients with pica weighed significantly less.Ĭonclusions Pica appeared to have an unusually high prevalence in patients with sickle cell disease and a correlation with lower Hb levels. Overall, the mean age of patients with pica was significantly lower however, the prevalence was 23.3% (27/116) among those aged 10.0 to 14.9 years and 14.8% (8/54) among those aged 15.0 to 19.0 years. Within genotype, mean Hb levels were significantly lower and reticulocyte counts were significantly higher in the patients with pica. There was a significantly higher prevalence of pica among patients homozygous for Hb S (Hb SS, sickle cell anemia) compared with the combined group of double heterozygous patients with Hb SC, Hb SD, and Hb Sβ thallasemia (Sβ +or Sβ 0) (35.6% vs 25.5% P =. Ingested items included paper, foam, and powders. Results Of 395 study patients, 134 (33.9%) reported pica. ![]() Main Outcome Measures Sex, age, weight, height, Tanner stage, complete blood cell count, sickle cell genotype, pica history, and levels of iron, zinc, lead, and fetal hemoglobin (Hb). Patients were excluded for history of stroke, long-term transfusions, pregnancy, acute illness, or age younger than 3 years. Patients The medical records of all 480 patients who visited the center from March 1, 1998, to June 30, 1999, were reviewed. Setting An urban, ambulatory care, interdisciplinary center. Objective To determine the prevalence of pica and its characteristics among children with sickle cell disease.ĭesign Retrospective, observational study. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine. ![]()
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