PEDIATRICS Vol. 31 No. 6 June 1963, pp. 1056
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Pica and Milk Intake

PINCUS CATZEL M.B., B.Ch., M.R.C.P., D.C.H.

The article of Gutelius et al., called "Nutritional Studies of Children with Pica" (Pediatrics, 29:1012, 1962) has just come to my notice. I would like to compare my experiences in Klerksdorp, a mining town in the Western Transvaal, Republic of South Africa. In Klerksdorp I deal mainly with white patients of good nutritional status and "middle-class" income group. Housing is good, and every house has its own garden.

My cases of pica fall into the sand-eating group—only one in 36 which I've investigated had a craving for cigarette ash, and none for paper, plaster, dirt, or laundry starch.