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September 1971


Arch Intern Med. 1971;128(3):472-473. doi:10.1001/archinte.1971.00310210148023

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Dear Dr. Crosby.  —I want to express my appreciation for the kind remarks in your editorial (Arch Intern Med127:960-961, 1971). I have no qualms about any statement that you make in the editorial but could only add additional anecdotes to amplify your remarks.The first patient I ever saw with pagophagia was an 18-year-old Negro girl who presented herself to my office in a state of sheer panic because she had been convinced by her father that she would die of cancer if she did not stop her ice eating. In spite of her absolute conviction that her father was correct, she had an ungovernable ice consumption. Careful evaluation of the patient revealed only mild iron lack anemia which I treated with iron sulfate given orally. At a follow-up visit a week later, the patient was absolutely ecstatic because she no longer wanted ice and I had "saved

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