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Cannabis-Induced Koro-Like Syndrome

C.K. Kalaitzi, A. Kalantzis

Urologia Internationalis 2006 DOI: 10.1159/000091634 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Topics Cannabis
Citations 17
Key findings The authors report the first case of a cannabis-induced koro-like syndrome in Greece, describing the syndrome as a transient acute anxiety state with a triad of fear of penile shrinkage, retraction into the abdomen, and apprehension of impotence or death. They note that Western non-psychiatric cases have mostly been tied to neurological disorders or cannabis or amphetamine intoxication.

Abstract

The genital-shrinking syndrome is a transient state of acute anxiety characterized by the triad of a deep-seated fear of penile shrinkage, its disappearance into the abdomen, and apprehension regarding inevitable impotence or even death. It is also known by the Malayo-Indonesian term 'koro'. In the West, koro syndrome has been reported only in relation with various somatic, psychiatric and drug-induced disorders. The vast majority of non-psychiatric cases was related to neurological disorders or intoxication with cannabis or amphetamine. This is the first case of cannabis-induced koro-like syndrome ever reported in Greece.

Comparable studies

Other case reports and case series on cannabis, most cited first.

Study Year Design Participants
Psychotic Reactions Following Cannabis Use in East Indians Patients at an Indian drug addiction clinic who developed acute cannabis-related psychosis 1974 Descriptive report (case series of clinical observations) n = 200
Psychiatric effects of cannabis use Swedish cases of cannabis psychosis 1985 Case series n = 70
Forty-Six Cases of Psychosis in Cannabis Abusers Gunila Bernhardson Habitual cannabis users treated for psychosis at Swedish psychiatric clinics and mental... 1972 Case series (retrospective survey of psychiatric records) n = 46
Hallucinogen persisting perception disorder after psilocybin consumption: a case study 18-year-old man with HPPD after mixed psilocybin and cannabis intoxication 2005 Case study n = 1
Cannabis‐induced Koro in Americans American men aged 22-26 with years of cannabis experience who reported negative... 2001 Case series n = 3

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