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Koro - A Case Report and Review


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1 Department of Psychiatry, Institute of Medical Sciences,BHU,Varanasi(UP)
     

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Koro is largely considered to be a culture-specific psychiatric disorder occurring primarily in Southeast Asian cultures though a large number of the cases has been reported beyond the cultural boundary as well, leading to a debate concerning the culture-specific nature of the syndrome. Classically it is manifested by acute anxiety associated with the fear of genital retraction, accompanied by fear of death induced by the thought that complete disappearance of the genital organ will result in death. Majority of the cases have been witnessed in male gender. Most of the female cases are from Koro epidemic. Sporadic individual case reports of Koro in female are very few.

Case report: Giving a psychopathological and nosological definition of this peculiar syndrome has also been problematic. In this paper, we report a case of koro in a young, Indian female patient. We briefly present the etiological factors related to the development of the syndrome, the most significant psychopathological characteristics and issues related to cultural specificity of the syndrome especially in a sporadic individual case.


Keywords

Koro
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  • Agarwal SM, Divakara PG,Pramanik KB. Koro in an Industrial Setting. Indian J Psychiat 1994;36(1), 36-38.

  • Bernstein RL, Gaw AC. Classification of Koro. (reply to letters) Am J Psychiat 1991; 148(9): 1279- 80.

  • Bernstein RL, Gaw AC. Koro: Proposed Classification for DSM-IV. Am J Psychiat 1990; 147(12): 1670-1674.

  • Berrios GE, Morley SJ. Koro like symptom in a non Chinese subject. Brit. J Psychiat 1984;145:331-334.

  • Bracha HS. Human brain evolution and the “Neuro-evolutionary Time-depth Principle: Implications for the Reclassification of fear circuitryrelated traits in DSM-V and for studying resilience to war zone related posttraumatic stress disorder. Prog Neuropsychopharm Biol Psychiatr 2006; 30: 827-853.

  • Chakraborty PK. Koro: A Peculier Anxiety Neurosis (A case report). Indian J Psychiat. 1982;24(2): 192-193.

  • Chaudhury AN, Pal P, Chatterjee A, Roy M, Chaudhury BBD. Indian J. Psychiat. 1988;30(1):69- 72.

  • Cheng S-T. A Critical Review of Chinese Koro. Cult Med Psychiat 1996; 20: 67-82.

  • Chin CN, S’ng KH. Med J Malaysia 1995; 50(2): 175- 176.

  • Chiniwala M, Cesar AA, Torres JR, Lefer J. Koro in an immigrant from Guinea with brief psychotic disorder. (letter) Am J Psychiat 1996;153(5): 736.

  • Damodaran SS, Nizamie SH. “Incomplete Koro”- A forerunner for mood disorder: Two case reports. Indian J Psychiat 1993;35(1):60-62.

  • Durst R, Rebaudengo PR. Koro Secondary to a tumour of corpus callosum. Brit. J Psychiat 1988;153:251-254.

  • Dutta D, Phookan HR, Das PD. The Koro Epidemic in lower Assam. Indian J. Psychiat. 1982;24(4):370-374.

  • Dzokoto VA, Adams G. Understanding Genital- Shrinking Epidemics in West Africa: Koro, Juju, or Mass Psychological Illness? Cult Med Psychiat 2005;29: 53-78.

  • Earleywine M. Cannabis Induced Koro in Americans. Addiction 2001;96:1663-1666.

  • Ede A: Koro in an Anglo-saxon Canadian. Ca J Psychiatry 1976;21:389-392.

  • Gwee AL. Singapore Medical Journal 1963; 4:119- 121.

  • Guarnaccia P, Rogler LH. Research on Culture- Bound Syndrome: New Directions. Am J Psychiat 1999; 156(9): 1322-1327.

  • Hamoud NA. Koro-like syndrome in a Jordanian male. Eastern Mediterranean Health Journal 1999;5(3):611-613.

  • Hes J, Nassi G. Koro in Yeminite and Geeorgian Jewish immigrant. Confinia Psychiatrica 1977;20:180-184.

  • Ifabumunyi, O. I.; Rwegellera, G. G. C. “Koro in a Nigerian Male Patient: A Case Report”. African J Psychiat 1979; 5: 103–5.

  • Kalaitzi CK,Kalantzis A. Cannabis-induced koro –like syndrome. A case report and mini review. Urol Int.2006;76(3):278-80.

  • Kennedy B, Flick GR. Classification of Koro. (letter to the editor) Am J Psychiat 1991;148(9): 1279- 80.

  • Khubalkar R, Gupta OP. Psychodynamics of Koro (a case report). Indian J. Psychiat. 1984;26(2):180- 181

  • Lin TY, Tseng WS, Yeh EK. Chinese societies and mental health. 1995;pp.231-243. Hong Kong: Oxford University Press.

  • Man-Lun NG. Vaginismus-a disease, symptom or culture bound syndrome? Sex Marit Ther 1999; 14(1): 9-13.

  • Praharaj SK. Koro and Psychosis following Steroid Abuse. German J Psychiatry 2004;7(3):49-50.

  • Rin H. A study of the etiology of Koro in respect to the Chinese concept of illness. Int J Soc Psychiatry 1965;11:7-13.

  • Rosenthal S, Rosenthal PA. Koro in an adolescent: Hypochondriasis as a stress response. Adolescent Psychiatry 1982;10: 523-531.

  • Tseng WS, Ming MK, Hsu J, Shuen LL,Wah OL, Qian CG, Wei JD. Study of Koro Epidemic in Guangdong China. The Am J. Psychiat. 1988;145 (12)1538.

  • Van Brero, P. C. J. Koro, eine eigenthümliche Zwangsvorstellung. Allgemeine Zeitschrift für Psychiatrie und psychisch-gerichtliche Medizin 1897; 53:569–73. In Maria A, et al. 2005. Some origins of cross-cultural psychiatry. History of Psychiatry, 16(2): 155–169.

  • Yap PM. Koro a culture bound depersonalisation Syndrome. Brit. J. Psychiat 1965; 111: 43-50.

  • Yap PM. Suk-Yeong or Koro–A Culture-Bound Depersonalization Syndrome. Bull Hong Kong Chinese Med Ass 1964; 16: 31-47.


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  • Koro - A Case Report and Review

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Authors

Mona Srivastava
Department of Psychiatry, Institute of Medical Sciences,BHU,Varanasi(UP)
Balram Pandit
Department of Psychiatry, Institute of Medical Sciences,BHU,Varanasi(UP)

Abstract


Koro is largely considered to be a culture-specific psychiatric disorder occurring primarily in Southeast Asian cultures though a large number of the cases has been reported beyond the cultural boundary as well, leading to a debate concerning the culture-specific nature of the syndrome. Classically it is manifested by acute anxiety associated with the fear of genital retraction, accompanied by fear of death induced by the thought that complete disappearance of the genital organ will result in death. Majority of the cases have been witnessed in male gender. Most of the female cases are from Koro epidemic. Sporadic individual case reports of Koro in female are very few.

Case report: Giving a psychopathological and nosological definition of this peculiar syndrome has also been problematic. In this paper, we report a case of koro in a young, Indian female patient. We briefly present the etiological factors related to the development of the syndrome, the most significant psychopathological characteristics and issues related to cultural specificity of the syndrome especially in a sporadic individual case.


Keywords


Koro

References