Symptoms include attacks of crying, trembling, uncontrollable shouting, physical or verbal aggression, and intense heat in the chest moving to the head. In modern psychiatry, it is considered a culturebound syndrome cbs. The koro epidemic in singapore by koro study team koro, a disease characterised by the sudden delusion of penis retracting, accompanied by intense panic, was a wellknown entity and has been previously reported in singapore gwee, 1963. Psychological disorders chapter what is mental illness. Koro is also known as shrinking penis, and it is listed in the diagnostic and statistical manual of mental disorders. October 01, 2019 medline abstract huge splenomegaly with pancytopenia due to gauchers. Koro is a term, probably of malayasian origin, a culture bound syndrome, which refers to an episode of sudden and intense anxiety that the penis will recede into the body and possibly cause death.
The conclusion is that the psychological disappearance of the penis is a universal syndrome that was described recently in asia and africa and already in medieval europe. Its aetiology and origin are traced in chinese culture, to the chin dynasty. Opioid addiction and treatment overdose, treatment. Koro is a culturebound syndrome delusional disorder in which an individual has an overpowering belief that ones sex organs are retracting and will disappear, despite the lack of any true longstanding changes to the genitals. There is a possibility of a chronic form of koro syndrome. Diabetic retinopathy dr is mainly caused by metabolic factors, vascular inflammation, and endothelial dysfunction. Culturebound syndromes have been described worldwide in many individuals and, for certain syndromes, in epidemic proportion, yet these disorders have been classified as rare and exotic conditions. Psychiatryonline subscription options offer access to the dsm5 library, books, journals, cme, and patient resources. American college of obstetricians and gynecologists acog methadone treatment for pregnant women pdf 321 kb substance abuse and mental health services administration samhsa opioids. In most of the cases described in the literature, patients. Indigenous koro, a genital retraction syndrome of insular. December 01, 2019 medline abstract dermatology flips me out. Pubmed is a searchable database of medical literature and lists journal articles that discuss koro. Our cases also illustrate the occurrence of severe anxiety in 2 patients with koro syndrome that presented as panic.
Just try saying it out loud and you will see how ridiculous it sounds. A parallel view is that certain disorders such as anorexia nervosa or even. In this culturebound syndrome, originally reported in south and east asia, the male individual believes that his penis is shrinking and deeply fears from its. Koro syndrome is a very rare condition in psychiatry in. This condition was also reported independently by amfetamine users attending a drug. Definition of syndrome written for english language learners from the merriamwebster learners dictionary with audio pronunciations, usage examples, and countnoncount noun labels. Abstract koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction sometimes unflatteringly called penis panic. Although named after a southeast asias culturebound syndrome it has been described in european literature since the 1880s chowdhury 1998. A nosology for the classification of koro syndrome is proposed. Abnormalities of body perception are a possible feature in schizophrenia. Association of plasma pentraxin3 levels with retinopathy and. Serotonin syndrome ss is a group of symptoms that may occur with the use of certain serotonergic medications or drugs.
Detection of oncoprotein by a novel immunochromatoghaphic test depending on age and parity of the patients attending at mymensingh medical college hospital, bangladesh. Aug 22, 2007 the conclusion is that the psychological disappearance of the penis is a universal syndrome that was described recently in asia and africa and already in medieval europe. The treatment approaches can be divided into four main avenues. Two western patients with this syndrome are described and their psychotherapeutic treatment and outcome outlined. Koro syndrome is a psychiatric disorder characterised, in its typical form, by acute and intense anxiety, with complaints in men of a shrinking penis or fear of its retraction into the abdomen and resultant death. Retts syndrome pdf rett syndrome is a childhood neurodevelopmental disorder characterized by normal early development. Rett syndrome is a unique postnatal neurological disorder that is first recognized in infancy and. Find, read and cite all the research you need on researchgate.
Originally thought to be a chinese and indonesian culturebound syndrome, it has recently been noted to occur in indian patients as well. It is probably not by chance that the prevalence of recurrent urinary tract infections and. Koro genetic and rare diseases information center gard. The rare syndrome of koro is presented in a case of an individual with intellectual disability id and fixated pedophilia. Koro is not exclusively a penis panic, thus much of the article related more to grs than to penis panics, as it is. Koro is a belief or delusion of retraction of the penis into the abdomen. Download free acrobat reader dc software, the only pdf viewer that lets you read, search, print, and interact with virtually any type of pdf file. Elmslie for allowing me to quote the clinical condition noted at that time. It is more common in men, who are convinced that their penis is getting smaller and even that it.
This disruption is clear when one surveys the varieties of koro. There is no description in literature of a chronic form of this syndrome. Clinicopathologic comparison of rowell syndrome, erythema multiforme, and subacute cutaneous lupus erythematosus. The first is the increasing cultural diversity of persons seeking mental health care, which reflects the increasing cultural diversity of american society 24. Abstract koro syndrome is a psychiatric disorder characterized by acute anxiety of ones genital retraction. Immigrants bring with them their own indigenous patterns and conceptions of mental illness, some of. Koro syndrome is connected to religious beliefs and witchcraft.
Koro is a syndrome in which adults delusion their penis or vulva of the vagina are retracting up into ones body. To determine the nature of koro as a disease entity open mind with. Koro is a culturebound syndrome delusional disorder in which an individual has an. The full text of this article is available as a pdf 77k. Do patientspecific or fracturespecific factors predict the development of acute compartment syndrome after pediatric tibial shaft fractures. These ataques are often associated with stressful events e. The importance of penis panics to cultural psychiatry mind. The treatment of koro syndrome and korolike symptoms depends on its aetiology. However, in view of recent nonchinese epidemics, as well as. If you have problems viewing pdf files, download the latest version of adobe reader. Ybocs score decreased from 30 at initial evaluation to 18 after 3 months of treatment. Schizophrenia presenting with korolike symptoms the. This case report describes a case of koro syndrome associated with.
Koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction. The medical model diagnosis, etiology, prognosis thomas szasz criteria deviance maladaptive personal distress diagnostic and statistical manual of mental disorders dsmiv multiaxial axis i. Jan 01, 2012 koro is a syndrome in which the penis or sometimes the nipples or vulva is retracting, with deleterious effects for the sufferer. Amyoplasia congenita the baby when nine weeks old was taken to the orthoptedic department of st. Mar 15, 2010 koro syndrome is a psychiatric disorder characterised, in its typical form, by acute and intense anxiety, with complaints in men of a shrinking penis or fear of its retraction into the abdomen and resultant death. A psychiatric study of patients presenting with complaints of dhat. Koro is similar to, but nevertheless distinct from, the chinese syndrome which carries its name and serves as the transcultural prototype. Patients for this study were forty males between the ages of 21 and 60 who were consecutive admissions to the waldo jones koro clinic and were independently diagnosed by two clinicians as meeting the american psychiatric associations diagnostic and statistical manual, v edition provisional, criteria for koro disorder. Pregnancy, opioid use, and neonatal abstinence syndrome.
Pdf as a culturalbound syndrome, koro is described in the dsmiv as an. Koro and psychosis the british journal of psychiatry. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Koro arises from the belief about the retraction of the sexual organs including penis. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. Originally thought to be a chinese and indonesian culturebound syndrome, it has recently been noted to occur in western patients. Koro is a culture bound syndrome, which has been reported usually from asian countries. Syndrome definition for englishlanguage learners from. Avens publishing group korolike syndrome in an iranian. In dsmivtr, koro is listed as one of the entries in the glossary of culturebound syndromes of appendix i. The role of early life environmental risk factors in. Zori stalker williams syndrome is a rare syndrome associated with a range of diseases and symptoms such as pectus excavatum, macrocephaly and dysplastic nails, familial short stature, developmental delay and distinctive facies. As a culturebound syndrome, koro is described in the dsmiv as an episode of sudden and intense anxiety that the penis or, in females, the vulva and the nipples will recede into the body and. Koro syndrome is characterized by the belief that the patients penis is shrinking into the abdomen, and its eventual disappearance will result in the patients death.
The syndrome was revisited in the 1930s by dutch psychiatrists keen to import psychoanalytic categories to the east indies, mostly by framing it as a form of castration anxiety. Sep 01, 2005 parkinson disease pd is of unknown but presumably multifactorial etiology. Adobe acrobat reader dc software is the free global standard for reliably viewing, printing, and commenting on pdf documents. And now, its connected to the adobe document cloud. Classification of amok in dsmiv psychiatric services. Click on the link to view a sample search on this topic. The main impetus for the environmental causation theory of pd came from the isolation of the chemical compound mptp 1methyl4phenyl1,2,3,6tetrahydropyridine that was associated with marked parkinsonism in four young adults after using a demerol derivative intravenously langston et al. Similar to the koro syndrome, many disorders of body scheme have both neurological and psychiatric aspects, which suggest that a coherent neural representation of the body is a key element of selfconsciousness. Adobe acrobat reader dc download free pdf viewer for. Ev840 koro syndrome in an obsessivecompulsive disorder patient. No prior cases of koro like symptoms have been reported in an id population. Korosuoyang is the only culturally related syndrome that has occured in. The koro like symptom of a disappearing penis developed when a male with fixated pedophilia tried to explore and limit his deviant arousal. The koro syndrome is a triad of deepseated fear of penile shrinkage, its disappearance into.
Symptoms include high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea. Symptoms include attacks of crying, trembling, uncon. Croziers articles man point is to examine the different explanations of koro based on shifting conceptions of mental illness, while considering the increased recognition of the role culture has to. This raises interest in analyzing possible changes in the proportions of immune system cells in individuals with obesity with and without metabolic syndrome ms, in relation to their body composition.
This case report describes a case of koro syndrome associated with penile and scrotal pain. Chronic korolike symptoms two case reports bmc psychiatry. Koro, used synonymously for genital retraction syndromes and. Koro has been described as a culturebound syndrome with localised depersonalisation confined to the penis, occurring in the context of a panic state with fear of impending disaster yap 1965,1969. Tlie social anthropological perspective is explored.
Koro has been described in nonasian patients as well, leading to debate concerning the true nature of the syndrome. Neonatal abstinence syndrome publications, videos, and webinars. The degree of symptoms can range from mild to severe. We recommend that you switch to a newer, more userfriendly viewing mode called document viewer. It can occur when people feel strong guilt because engaging in masturbation or when they think it is sort of magic brought on them for genital theft.
I was hit in the head with a tile just before the apocalypse and fell into a coma, where i dreamt of my past life as a woman in a parallel world that also had an apocalypse. Pdf the koro syndrome is a triad of deepseated fear of penile shrinkage, its disappearance into the abdomen and consequent death. It has been described as an acute, brief lasting illness, which often occurs in epidemics. Articles from indian journal of psychiatry are provided here courtesy of medknow publications how does. May 29, 2019 medline abstract comparison of eosq24 and srs22 scores in congenital scoliosis. Jul 16, 2014 koro is a syndrome in which adults delusion their penis or vulva of the vagina are retracting up into ones body. December 01, 2019 medline abstract publication productivity of authors of psoriasis clinical practice guidelines with and without ties to industry. Culture bound syndromes, introduction, historical aspect, evolution on concept, dsm iv, dsm 5, dhat, koro, amok, possession syndrome, kufungisisa, hikikomori, slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Although urinary tract infections may not constitute the primary cause ofthe urge syndrome they invariably occur in conjunction with the syndrome, andhavea keyrole in thepersistence andseverityof its symptoms. Genital pain associated with genital retraction a case of. Peripheral lymphocytes, obesity, and metabolic syndrome in. Koro, a disorder characterized by complaints of genital hyperinvolution and fear of impending death, is found to be indigenous to certain populations of insular southeast asia. For sporadic koro, the underlying neuropsychiatric disorder.
Problems arise when decisions are based on generalized, prototypical descriptions of the syndrome that are then associated with the textbook criteria of a psychiatric diagnosis. Koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction sometimes unflatteringly called penis panic. Koro syndrome is not physically threatening since penis retraction is just an illusion. The syndrome occurs worldwide, and mass hysteria of genitalshrinkage. Jan 08, 2012 koro is a particularly good syndrome with which to play up the tension between psychiatric universalism on the one hand, and ethnic bias on the other. Is there any support for renamingredirecting this page to genital retraction syndrome grs, allowing it to become more general. Initially, this syndrome was described as a culture specific disorder.
The koro syndrome is a disorder in which the patient believes that his genitals are shrinking or retracting into the abdomen and will soon disappear. Koro syndrome is not physically threatening since penis retraction is. Koro and schizophrenia in singapore the british journal. A case of koro is described in an elderly person with associated inguinal hernia and schizophrenia.
The four questions focus on the nature of the phenomenon, the socialcultural location of. A man may perform manual or mechanical penile traction, or anchoring by a loop of string or some clamping device. Eastern arizona college 4 abnormal psychology equal opportunity employer and educator criteria performance will be successful when. Pdf two cases of koro syndrome or anxiety disorder associated. A case is presented of a patient who described a koro. An epidemic psychogenic disorder called jhinjhini which broke out in a village in west bengal, is described. Pdf koro is largely considered to be a culturespecific psychiatric disorder occurring primarily in. Medscape j am acad dermatol publication information. There are two major reasons for focusing research on culturebound syndromes. Koro, korolike syndrome, genital retraction syndrome, culturebound.
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