Eating disorder not otherwise specified (PICA): ingestion of plastic bags in an attempt to lose weight resulting in acute abdomen

Authors

  • Eduardo Alves Guilherme Médico psiquiatra, Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR), Curitiba, PR
  • Roberto Ratzke Médico psiquiatra. Professor adjunto, Departamento de Medicina Forense e Psiquiatria, Universidade Federal do Paraná (UFPR), Curitiba, PR. Professor, Programa de Residência Médica em Psiquiatria, HC-UFPR, Curitiba, PR

DOI:

https://doi.org/10.25118/2236-918X-5-3-5

Keywords:

Eating disorder not otherwise specified, DSM- 5,, public health

Abstract

Eating disorders are associated with severe clinical and psychiatric problems, and are frequently underdiagnosed. In this context, the category eating disorders not otherwise specified (EDNOS), even though highly prevalent, has received little attention. The present article describes the case of a patient diagnosed with EDNOS, more specifically pica, who ingested plastic bags in an attempt to lose weight. The patient’s medical history and the treatment adopted are described in detail. Unfortunately, revision of the EDNOS
category in the 5th edition of the Diagnostic and StatisticalManual of Mental Disorders (DSM-5) maintained the confusing, arbitrary nature of the diagnostic criteria, with little usefulness in clinical practice.

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Author Biographies

Eduardo Alves Guilherme, Médico psiquiatra, Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR), Curitiba, PR

Roberto Ratzke, Médico psiquiatra. Professor adjunto, Departamento de Medicina Forense e Psiquiatria, Universidade Federal do Paraná (UFPR), Curitiba, PR. Professor, Programa de Residência Médica em Psiquiatria, HC-UFPR, Curitiba, PR

References

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Associação Americana de Psiquiatria. Manual Diagnóstico e Estatístico de Transtornos Mentais, 5ª edição (DSM-5). Porto Alegre: Artmed; 2014.

Walsh BT. Eating disorders in DSM-V: review of existing literature (Part 1). Int J Eat Disord. 2009;42:579-80.

Keel PK, Brown TA, Holm-Denoma J, Bodell LP. Comparison of DSM-IV versus proposed DSM-5 diagnostic criteria for eating disorders: reduction of eating disorder not otherwise specified and validity. Int J Eat Disord. 2011;44:553-60.

Published

2015-06-30

How to Cite

1.
Guilherme EA, Ratzke R. Eating disorder not otherwise specified (PICA): ingestion of plastic bags in an attempt to lose weight resulting in acute abdomen. Debates em Psiquiatria [Internet]. 2015 Jun. 30 [cited 2025 May 9];5(3):32-5. Available from: https://revistardp.org.br/revista/article/view/912

Conference Proceedings Volume

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Case Report

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