Journal of Renal Nutrition
Volume 11, Issue 1 , Pages 32-36 , January 2001

Clay Pica Has No Hematologic or Metabolic Correlate in Chronic Hemodialysis Patients

  • Chamberlain I. Obialo, MD

      Affiliations

    • Morehouse Dialysis, Atlanta, GA.
    • Department of Medicine, Morehouse School of Medicine, Atlanta, GA.
    • Corresponding Author InformationAddress reprint requests to Chamberlain I. Obialo, MD, Department of Medicine, Morehouse School of Medicine, 720 Westview Dr, SW, Atlanta, GA 30310.
    • ,
  • Angela K. Crowell, MD

      Affiliations

    • Morehouse Dialysis, Atlanta, GA.
    • Department of Medicine, Morehouse School of Medicine, Atlanta, GA.
    • ,
  • Xiao J. Wen, MD

      Affiliations

    • Department of Medicine, Morehouse School of Medicine, Atlanta, GA.
    • ,
  • Anita C. Conner, RD, MPH

      Affiliations

    • Morehouse Dialysis, Atlanta, GA.
    • ,
  • Edward L. Simmons, MA

      Affiliations

    • Lead Poisoning Research Program, Morehouse School of Medicine, Atlanta, GA.

References 

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  2. Ojanen S, Oksa H, Pasternack A. Pica in renal patients. Dial Transplant. 1990;19:429;Dial Transplant. 1990;19:432–433
  3. Ward P, Kutner NG. Reported pica behavior in a sample of incident dialysis patients. J Ren Nutr. 1999;9:14–20
  4. Grigsby RK, Thyer BA, Waller RJ, et al. Chalk eating in middle Georgia: A culture-bound syndrome of pica. South Med J. 1999;92:190–192
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  6. Delmez JA, Slatopolsky E. Hyperphosphatemia: Its consequences and treatment in patients with chronic renal failure. Am J Kidney Dis. 1992;19:303–317
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  8. Fenves AZ, Cochran C, Scott C. Clay pica associated with profound hypophosphatemia and hypercalcemia in a chronic hemodialysis patient. J Ren Nutr. 1995;5:204–209
  9. Severance HW, Holt T, Patrone NA, et al. Profound muscle weakness and hypokalemia due to clay ingestion. South Med J. 1988;81:272–274
  10. Fahal IH, Yaqoob M, Williams PS, et al. Does silicon protect against aluminum toxicity in dialysis patients?. Lancet. 1994;343:122–123
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  12. Birchall JD. The role of silicon in biology. Chem Br. 1990;26:141–144
  13. Edwardson JA, Moore PB, Ferrier IN, et al. Effect of silicon on gastrointestinal absorption of aluminum. Lancet. 1993;342:211–212
  14. Rector WG. Pica: Its frequency and significance in patients with iron-deficiency anemia due to chronic gastrointestinal blood loss. J Gen Intern Med. 1989;4:512–513
  15. Horner RD, Lackey CJ, Kolasa K, et al. Pica practices of pregnant women. J Am Diet Assoc. 1991;91:34–38
  16. Burchfield SR, Elich MS, Woods SC. Geophagia in response to stress and arthritis. Physiol Behav. 1977;19:265–267
  17. Anderson JE, Akmal M, Kittur DS. Surgical complications of pica: Report of a case of intestinal obstruction and a review of the literature. Am Surg. 1991;57:663–667

 Study was partially supported by Grant #S-469 flom Dialysis Clinic Inc, Nashville, TN. This study is partially funded through a grant awarded to the Morehouse School of Medicine Clinical Research Center (NCRR NIH CRC, IP20-RR 11104-04 RC R11 Program)

PII: S1051-2276(01)87367-2

Journal of Renal Nutrition
Volume 11, Issue 1 , Pages 32-36 , January 2001

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