REGIS A. DESILVA, M.D.
To the editor: The reports by Chandra and Rosner (Ann Intern Med 78:973-974, 1973) and Marks (Ann Intern Med 79:612, 1973) on two unusual forms of craving associated with iron deficiency anemia prompts me to report a form of pica that does not appear to be in the literature.
A 33-year-old, multiparous, menstruating Puerto Rican woman was seen with epigastric pain, nausea, and vomiting. She appeared pale, but looked healthy otherwise and denied excessive menstruation. Thorough evaluation showed classical iron deficiency anemia and a carcinoma of the ascending colon. The upper gastrointestinal tract was normal.
She admitted to pagophagia (eating
DESILVA RA. Eating Cigarette Ashes in Anemia. Ann Intern Med. ;80:115–116. doi: 10.7326/0003-4819-80-1-115_2
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Published: Ann Intern Med. 1974;80(1):115-116.
Cardiology, Coronary Risk Factors, Hematology/Oncology, Red Cell Disorders, Smoking.
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