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Onset of obsessive compulsive disorder in pregnancy with pica as the sole manifestation.
Indian J Psychol Med 2012; 34(3):276-8IJ

Abstract

Pica refers to eating of non-nutritious substances, which is usually seen in childhood or pregnancy. Here we report a case of an illiterate tribal woman who developed pica as the sole manifestation of obsessive compulsive disorder, with onset during pregnancy. The patient had compulsions of eating uncooked rice or wheat, which resulted in toothache and abdominal discomfort. She had this habit in three pregnancies, consecutively. In the first two pregnancies it resolved spontaneously after puerperium, but persisted in the last one. Probably physical stress of limb edema during the third pregnancy was reason for the persistence. She responded to fluoxetine 40 mg / day after three months of treatment, without behavioral therapy. We conclude that pica may either be only a manifestation of obsessive compulsive disorder during pregnancy or it is an obsessive compulsive spectrum disorder.

Authors+Show Affiliations

Department of Psychiatry, VCSG Government Medical Science and Research Institute, Srinagar Garhwal, Uttarakhand, India.No affiliation info available

Pub Type(s)

Case Reports

Language

eng

PubMed ID

23440014

Citation

Upadhyaya, Suneet Kumar, and Archana Sharma. "Onset of Obsessive Compulsive Disorder in Pregnancy With Pica as the Sole Manifestation." Indian Journal of Psychological Medicine, vol. 34, no. 3, 2012, pp. 276-8.
Upadhyaya SK, Sharma A. Onset of obsessive compulsive disorder in pregnancy with pica as the sole manifestation. Indian J Psychol Med. 2012;34(3):276-8.
Upadhyaya, S. K., & Sharma, A. (2012). Onset of obsessive compulsive disorder in pregnancy with pica as the sole manifestation. Indian Journal of Psychological Medicine, 34(3), pp. 276-8. doi:10.4103/0253-7176.106030.
Upadhyaya SK, Sharma A. Onset of Obsessive Compulsive Disorder in Pregnancy With Pica as the Sole Manifestation. Indian J Psychol Med. 2012;34(3):276-8. PubMed PMID: 23440014.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Onset of obsessive compulsive disorder in pregnancy with pica as the sole manifestation. AU - Upadhyaya,Suneet Kumar, AU - Sharma,Archana, PY - 2013/2/27/entrez PY - 2013/2/27/pubmed PY - 2013/2/27/medline KW - Amylophagia KW - obsession KW - physical stress KW - pica KW - pregnancy SP - 276 EP - 8 JF - Indian journal of psychological medicine JO - Indian J Psychol Med VL - 34 IS - 3 N2 - Pica refers to eating of non-nutritious substances, which is usually seen in childhood or pregnancy. Here we report a case of an illiterate tribal woman who developed pica as the sole manifestation of obsessive compulsive disorder, with onset during pregnancy. The patient had compulsions of eating uncooked rice or wheat, which resulted in toothache and abdominal discomfort. She had this habit in three pregnancies, consecutively. In the first two pregnancies it resolved spontaneously after puerperium, but persisted in the last one. Probably physical stress of limb edema during the third pregnancy was reason for the persistence. She responded to fluoxetine 40 mg / day after three months of treatment, without behavioral therapy. We conclude that pica may either be only a manifestation of obsessive compulsive disorder during pregnancy or it is an obsessive compulsive spectrum disorder. SN - 0253-7176 UR - https://www.unboundmedicine.com/medline/citation/23440014/Onset_of_obsessive_compulsive_disorder_in_pregnancy_with_pica_as_the_sole_manifestation L2 - http://www.ijpm.info/article.asp?issn=0253-7176;year=2012;volume=34;issue=3;spage=276;epage=278;aulast=Upadhyaya DB - PRIME DP - Unbound Medicine ER -