8/28/2023 0 Comments Pica treatment in child![]() ![]() In our work, we report a stability of methylphenidate effect for three months. We can conclude that increasing dopamine levels in the brain decrease pica. ![]() Or stimulant reduce impulsivity and increase dopamine levels in the brain ( 7).Īnother medication was found to be efficient on pica : the bupropion, a dopamine reuptake inhibitor 8. In our case, methylphendiate was efficient on pica like in the two others studies 5, 6. In addition, the dopaminergic system dysfunction can explain the association of the two diagnosis like for the association of ADHD with obesity and bulimia nervosa ( 6). ![]() However like it was remarqued by Hergüner et Hergüner 6, both have impulsivity as a commun point. There has been no suggested link between pica and ADHD. It can be associated to different psychiatric disorders like dyslexia,īut ADHD and pica comorbidity was rarely described in the literature before. The patient didn't engage in any pica behavior during three months.ĪDHD is a disorder associating attention deficit, hyperactive and impulsive behaviors 4. His ADHD and pica symptoms improved within 3 weeks. Methylphenidate 40 mg daily was prescribed. A past diagnosis of disinhibited attachment disorder was also retained. We diagnosed Pica and ADHD (combined type) according to DSM-5 criteria ( 3). Laboratory examinations including complete blood count, serum ferritin, zinc, iron, vitamin B12 and folate levels, and liver, thyroid and renal function tests were normal. The Test of Nonverbal Intelligence (TONI-2) revealed above-average intelligence. There was no history of pica or other psychiatric disorders among his family members. A personal history of maternal deprivation was reported by the mother. The psychiatric examination did not reveal any obsessive, compulsive, anxiety or depressive symptoms. Mother and son reported that, since early childhood, he had symptoms of inattention, impulsivity and hyperactivity. He reported this habit as involuntary happening when he is distracted. At first, it concerned clothes, plastic of headphones and mouse wires, the collars, and then plastic caps and finally his fingers' skin. The patient reported that he used to eat and to chew many nonnutritive substances. He was attending the middle school with average scholar results. A 12-years-old boy was referred to our outpatient department for eating clothes for more than 6 years. ![]()
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