Cautopyreiophagia

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Abstract
To the Editor: Pica is the habit of ingesting substances that lack nutritive value. Infants may eat unusual materials during the phase of oral exploration, but later in life pica usually reflects cultural preferences.1 , 2 Earth or clay (geophagia), ice (pagophagia) and starch are among the most common substances ingested by adults. When pica is associated with iron deficiency it can be relieved by iron therapy.2 I recently encountered a bizarre form of pica that I have not previously seen described.A 48-year-old housewife complained of fatigue. In July, 1975, at the time of a cholecystectomy, her hemoglobin was 13 . . .

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