RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0038-1676382
Talcum Powder Toxicosis in Pregnancy
Publikationsverlauf
22. April 2017
08. September 2018
Publikationsdatum:
28. Dezember 2018 (online)
![](https://www.thieme-connect.de/media/ajpr/201804/lookinside/thumbnails/10-1055-s-0038-1676382_170026-1.jpg)
Abstract
Background Pica is a relatively common phenomenon in pregnancy and typically includes consumption of nontoxic substances such as earth/clay, raw starches, and ice. Occasionally, substances may be toxic or have unintended consequences.
Case A nulliparous woman presented to our facility complaining of numerous, vague symptoms that are common in pregnancy. She had multiple work-ups and an admission to our antepartum unit without clear etiology of her symptoms. Ultimately, she was diagnosed with talcum powder toxicosis secondary to talc ingestion as a coping mechanism for her anxiety, which was heightened in pregnancy.
Conclusion This case highlights the importance of screening for mental health disorders, which may be exacerbated during the peripartum period. Patients' coping mechanisms for mental health disorders may have unintended consequences.
-
References
- 1 World Health Organization; 1992. The ICD-10 Classification of Mental Health and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization;
- 2 Corbett RW, Ryan C, Weinrich SP. Pica in pregnancy: does it affect pregnancy outcomes?. MCN Am J Matern Child Nurs 2003; 28 (03) 183-189 , quiz 190–191
- 3 Mikkelsen TB, Andersen AM, Olsen SF. Pica in pregnancy in a privileged population: myth or reality. Acta Obstet Gynecol Scand 2006; 85 (10) 1265-1266
- 4 Cardwell MS. Eating disorders during pregnancy. Obstet Gynecol Surv 2013; 68 (04) 312-323
- 5 Young SL. Pica in pregnancy: new ideas about an old condition. Annu Rev Nutr 2010; 30: 403-422
- 6 International Agency for Research on Cancer, Carbon black, titanium dioxide and talc. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Carbon black, titanium dioxide, and talc, 93. 2010 http://monographs.iarc.fr/wp-content/uploads/2018/06/mono93.pdf . Accessed December 19, 2018
- 7 Harbison RD, Bourgeois MM, Johnson GT. Hamilton and Hardy's Industrial Toxicology. Hoboken, NJ: John Wiley & Sons Inc.; 2015
- 8 Garlich FM, Nelson LS. Inhalation of baby powder. Emed Mag; 2011: 17-20
- 9 FDA GRAS substances. U.S. Food and Drug Administration. Select Committee on GRAS Substances (SCOGS) Opinion: Silicates. http://wayback.archive-it.org/7993/20171031063508/https://www.fda.gov/Food/IngredientsPackagingLabeling/GRAS/SCOGS/ucm260849.htm . Accessed December 19, 2018
- 10 Toxnet. U.S. National Library of Medicine. Toxnet: Toxicology Data Network: HSDB: Magnesium Silicate. http://toxnet.nlm.nih.gov/cgi-bin/sis/search2/f?/temp/~jYLj3w:3 . Accessed July 28, 2015
- 11 Talcum Powder Poisoning. . Medline Plus. U.S. National Library of Medicine. http://www.nlm.nih.gov/medlineplus/ency/article/002719.htm . Accessed July 29, 2015
- 12 Lawson R. Acute talc inhalation. Nursing 2012; 42 (01) 72
- 13 Mishori R, McHale C. Pica: an age-old eating disorder that's often missed. J Fam Pract 2014; 63 (07) E1-E4
- 14 Fawcett EJ, Fawcett JM, Mazmanian D. A meta-analysis of the worldwide prevalence of pica during pregnancy and the postpartum period. Int J Gynaecol Obstet 2016; 133 (03) 277-283
- 15 Shannon M. Severe lead poisoning in pregnancy. Ambul Pediatr 2003; 3 (01) 37-39
- 16 Hagopian LP, Rooker GW, Rolider NU. Identifying empirically supported treatments for pica in individuals with intellectual disabilities. Res Dev Disabil 2011; 32 (06) 2114-2120