Treatment of anemia and resolution of pica may prove effective in preventing future nephrolithiasis. It is important that clinicians consider the possible diagnosis of sodium chloride pica in patients with iron deficiency anemia and recurrent nephrolithiasis. She continues to struggle with the symptoms of pica and orally administered supplementation. She was prescribed orally administered ferrous sulfate 325 mg three times a day with meals. History, physical, and laboratory data were consistent with pica secondary to iron deficiency anemia. Laboratory findings revealed hemoglobin of 10.9 g/dL with ferritin of 3 ng/mL. These cravings had been present for many years, were bothersome to her, and interfered with her daily life. She described a daily pattern of eating continually from a cup of ice chips accompanied by multiple spoons of salt directly out of a salt shaker.
Case presentationĪ 31-year-old white woman with a past medical history of menorrhagia, anemia, and recurrent calcium nephrolithiasis presented for preoperative evaluation prior to ureterolithotomy. Treatment of pica may prove effective in preventing recurrent nephrolithiasis. We describe the case of a 31-year-old woman with recurrent calcium nephrolithiasis and anemia who ate ice chips as well as spoons of salt daily. A high sodium diet increases risk for nephrolithiasis. Pica, or the ingestion of non-food or non-nutritive items, is a well-known manifestation of iron deficiency. Iron deficiency anemia is a common finding in women of child-bearing age.
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