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. Initially, this syndrome was described as a culture specific disorder. Sporadic cases referred to as the koro-like syndrome have been observed in western countries recently. They are more likely to appear in the context of a psychiatric or neurological disorder. The clinical course of culture bound koro syndrome is usually self limited, but in some cases it can be transient or take on a chronic or recurrent form, lasting from days to weeks, months or even years. We present two cases, one of a middle aged man whose koro-like symptoms have persisted for over 18 years in a relapse mode that is rarely observed, and one of a young schizophrenic, who also exhibits koro-like symptoms.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029136PMC
http://dx.doi.org/10.1136/bcr.08.2008.0679DOI Listing

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Article Synopsis
  • Delusional parasitosis (DP) with Koro-like syndrome involves strong beliefs of being infested and experiences of genital retraction, making it a tough challenge for healthcare providers.
  • The combination can severely affect patients' mental health and daily lives, with stigma and misunderstandings adding to their struggles.
  • To effectively treat this rare condition, a holistic approach that includes education, therapy, and medication is necessary to address both aspects of the syndrome.
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Koro is a disorder characterized by the fear of genitals shrinking and retracting into the body. While it is not included in the cultural concepts of distress in DSM-5, DSM-IV-TR described koro as "an episode of sudden and intense anxiety that the penis (or, in female patients, the vulva and nipples) will recede into the body and possibly cause death." The term koro originates from the Malay language, referring to the retracting motion of the head of turtles or tortoises into their shells.

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Koro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an epidemic form in East and Southeast Asia, although it can present anywhere worldwide in its sporadic form.

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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. Initially, this syndrome was described as a culture specific disorder. Sporadic cases referred to as the koro-like syndrome have been observed in western countries recently.

View Article and Find Full Text PDF

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