Cotard syndrome in neurological and psychiatric patients. Indigenous koro, a genital retraction syndrome of insular. The association of koro with depression is rare and this paper reports two cases of mood disorder presenting with koro. As a culturebound syndrome, koro refers to an episode of sudden and intense anxiety that the penis or in females, the vulva and nipples will recede into the abdomen, and the belief that when fully retracted death will. A classic culturebound syndrome is koro, which is common in southeast asia and in china cheng, 1996.
Examples of culturebound syndromes kimberly martin, ph. Koro is a term that is believed to originate from two different malaysian words for to shrink or the tortoise. Koro genetic and rare diseases information center gard. That explains another name for the disorder which is penis panic. Koro is a culture bound syndrome, which has been reported usually from asian countries. If you are looking for a way to combine two or more pdfs into a single file, try pdfchef for free. Later, other traditional chinese medical books described suo yang as a fatal disease caused by retraction of the penis, nipple or other protruding organs. Genital pain associated with genital retraction a case of. Browse the gard list of rare diseases and related terms to find topics of interest to you.
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. Dnmt3a overgrowth syndrome is a disorder characterized by faster than normal growth before and after birth, subtle differences in facial features, and intellectual disability individuals with dnmt3a overgrowth syndrome are often longer than normal at birth and are taller than their peers throughout life. Meige syndrome nord national organization for rare. Pdf merge combinejoin pdf files online for free soda pdf. This case report describes a case of koro syndrome associated with. This syndrome is culturespecific, having been recorded predominately in china and southeast asia, and very rarely in other parts of the. Merge pdf online combine pdf files for free foxit software. The degree of symptoms can range from mild to severe. The merger emotions syndrome provides management and researchers with the chance of pinpointing the emotional stage of the staff. Abstract koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction sometimes unflatteringly called penis panic. Dnmt3a overgrowth syndrome genetics home reference nih. Two sporadic cases with koro like symptoms from east india are presented where the illness had a chronic course with durations spanning more. The specific symptoms and their severity vary from case to case. This is known in the medical literatures as koro, or genital retraction syndrome, and versions of it have been recorded, among other places, in china, thailand, and india.
This aim of this article was to survey the prevalence of cotard syndrome in a large neuropsychiatric institution and to describe the clinical expressions, imaging data, treatment, and potential psychobiological mechanisms for this fascinating syndrome that traverses the. Merger syndrome is an amalgamation of uncertainty and the likelihood of change, both favourable and unfavourable, which produces stress and concomitantly affects perception, judgement, interpersonal relationships and the dynamics of the merger itself. In the merger syndrome literature, emotions are mentioned, but their role, antecedents and consequences are discussed only at a very general level. Many affected individuals become overweight in late childhood or adolescence. For language access assistance, contact the ncats public information officer. Managing merger syndrome is not about trying to eliminate it, but about helping people manage its sources and symptoms. This simple webbased tool lets you merge pdf files in batches. Merger syndrome is perfectly normal, and to be expected even in the best planned and carefully managed integrations. Koro, a disorder characterized by complaints of genital hyperinvolution and fear of impending death, is found to be indigenous to certain populations of in koro is similar to, but nevertheless distinct from, the chinese syndrome which carries its name and serves as the transcultural prototype. Koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction. What causes the sudden arrival and departure of a condition like this. Koro is also known as shrinking penis, and it is listed in the diagnostic and statistical manual of mental disorders the syndrome occurs worldwide, and mass hysteria.
The disorder named koro hindawi publishing corporation. Merge pdf combine more pdf files into one free online. If you have problems viewing pdf files, download the latest version of adobe reader. Management ought to acknowledge that these emotions exist among the staff and they should take care of them as with efficiency as possible. Pdf two cases of koro syndrome hakan atalay academia. Koro is generally considered a culturebound psychiatric syndrome, the dominant feature of which is anxiety or dissociation. These syndromes offer insights into disorders that depend strongly on the sociocultural background of the individual. Meige syndrome is a rare neurological movement disorder characterized by involuntary and often forceful contractions of the muscles of the jaw and tongue oromandibular dystonia and involuntary muscle spasms and contractions of the muscles around the eyes blepharospasm. Meige syndrome genetic and rare diseases information. Browse az genetic and rare diseases information center. If not managed properly, employees emotional stress can pose a significant risk to the success of a merger.
Hereditary leiomyomatosis and renal cell cancer syndrome. Analyzing the consequences of mergers and acquisitions on. Research report about the merger syndrome scientific essay leadership and human resource management miscellaneous publish your bachelors or masters thesis. Sociocultural factors profoundly influence and determine every aspect of psychiatric disorder. Wig in a 1960 issue of the indian journal of clinical and social psychiatry, and then by dr. Wernickekorsakoff syndrome wks is a type of brain disorder caused by a lack of vitamin b1, or thiamine. The disorder, which is considered culture related, is endemic in. Among the south chinese cantonese koro is known as sukyeong. A close examination of koro epidemics in china, where koro cases appear to be more frequent than other parts of the world, shows that koro has a sociocultural component which has not been sufficiently taken into account in previous formulations. The specific symptoms, severity and progression of meige syndrome can vary from person to person. A free and open source software to merge, split, rotate and extract pages from pdf files.
P01444 culture bound syndromes a crosssectional study. The unprecedented inclusion of culturebound syndromes in dsmiv provides the opportunity for highlighting the need to study such syndromes and the occasion. Symptoms include high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea. This aim of this article was to survey the prevalence of cotard syndrome in a large neuropsychiatric institution and to describe the clinical expressions, imaging data, treatment, and potential psychobiological mechanisms for this fascinating syndrome. This free online tool allows to combine multiple pdf or image files into a single pdf document. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. It has been described as an acute, brief lasting illness, which often occurs in epidemics. Sometims, both of them may also pass over into transiet psychotic states. The term koro refers to an unfamiliar state of acute anxiety with partial depersonalization leading to the conviction of penile shrinkage and to fears of dissolution. Later on, isolated cases of koro have been reported from nonchinese cultures also. The syndrome is actually two separate conditions that can occur at the same time. Cotards syndrome is very infrequently reported in the setting of catatonia.
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. In a vertical merger a firm purchases one of its suppliers a backward merger or merges with one of its customers a forward merger. The full text of this article is available as a pdf 77k. The disorder named koro 3 retraction of the male organ into the abdomen refers to a syndrome in which the diminishingyang comes together with the fear of inevitable death. 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 possibly cause death. Pms might be a cultural syndrome, not a biologic one. Chronic koro like syndrome kls in recurrent depressive disorder as a variant of cotards delusion in an italian male. Easepdfs online pdf merger can combine multiple pdf files into a single pdf in seconds. Combine multiple pdf files into one pdf, try foxit pdf merge tool online free and easy to use. Koro is similar to, but nevertheless distinct from, the chinese syndrome which carries its name and serves as the transcultural prototype. 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. Free web app to quickly and easily combine multiple files into one pdf online. There is no description in literature of a chronic form of this syndrome.
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 it is more common in men, who are convinced that their penis is getting smaller and even that it. This list includes the main name for each condition, as well as alternate names. It most often affects middleaged people and usually is characterized by a combination of blepharospasm and oromandibular dystonia. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Split pdf files into individual pages, delete or rotate pages, easily merge pdf files together or edit and modify pdf files.
Although named after a southeast asias culturebound syndrome it has been described in european literature since the 1880s chowdhury 1998. Causes of the syndrome range from migraines to brain tumors, and its occurrence is not altogether uncommon in childhood, with most growing out of the syndrome as they age. Bandinelli pl, trevisi m, kotzalidis gd, manfredi g, rapinesi c, ducci g. 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. A psychiatric study of patients presenting with complaints of dhat. Please list any fees and grants from, employment by, consultancy for, shared ownership in or any close relationship with, at any time over the preceding 36 months, any organisation whose interests may be affected by the publication of the response. Articles from indian journal of psychiatry are provided here courtesy of medknow publications how does. The koro syndrome is a triad of deepseated fear of penile shrinkage, its disappearance into the abdomen and consequent death. This case report describes a case of koro syndrome associated with penile and scrotal pain. The syndrome develops as a result of increased centralisation and lessened communication. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. Blepharospasm is characterized by abnormal, forced blinking and spasms of the eyelids.
Van brero in 1897 first discussed the psychopathology of this syndrome on the basis of cases described in. In most of the cases described in the literature, patients. While the term merger syndrome enjoys the status of a buzzword, there is little systematic and structured analysis concerning its conceptualization, antecedents and consequences. Inclusion on this list does not serve as official recognition by the nih that a disease is rare.
Some conditions that are not considered rare are on this list and are labeled. Serotonin syndrome ss is a group of symptoms that may occur with the use of certain serotonergic medications or drugs. Culturebound syndromes are clinical presentation forms of symptoms that are culturally distinctive kirmayer, 2001. Koro syndrome or genital retraction syndrome grs is a psychological disorder that is distinguished by persons conviction that his penis is becoming smaller i. Research report about the merger syndrome publish your. Incomplete koro syndrome or a koro like state is usually grafted on to a primary psychiatric disorder. Culturebound syndromes an overview sciencedirect topics. In this report we present two cases of cotards syndrome, both of whom had associated selfstarvation and nutritional deficiencies and one of whom had associated. Originally thought to be a chinese and indonesian culturebound syndrome, it has recently been noted to occur in indian patients as well. Two patients with koro like symptoms from orissa in east india are presented here, whose symptoms continued for prolonged duration of more than ten years, highlighting the possibility of a chronic form of this syndrome. 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. This clinical condition shares common features with body dysmorphic disorder bdd, such as anxiety linked to the patients body part. Koro syndrome is characterised by intense and sudden anxiety originated from the patients worry his own penis may retreat into his body.
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