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An 18 month old boy presents to your office for a well child visit.

Parents have no concerns but do mention that he eats a lot of paper.

You astutely decide to check a CBC and iron studies but wonder why iron deficiency causes this strange symptom?

#hemetweetorial 🧵
1/
Pica in medicine refers to the compulsive eating of non edible substances.

It is classified as an eating disorder.

The word pica originates from Latin referring to the magpie which eats indiscriminately.

Pica was described by Hippocrates as “corruption of the blood”

2/
In 40 AD Cornelius Celsus noted that those with bad color suffer from a malacia (craving for non food)

The Swahili term for anemia was mistranslated as “disease of earth eating”

3/
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