1/3. cannabis-induced koro-like syndrome. A case report and mini review.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.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |
2/3. Substance abuse: clinical identification and management.Substance abuse is a significant health problem in the adolescent population. Prevention is a formidable challenge, but attempts at discouraging experimentation in early adolescence and the promotion of healthy adult role models may be effective strategies. Questions that may elicit a history suggestive of abuse should be a routine part of the adolescent medical history. Pediatricians should be familiar with the important clinical findings resulting from intoxication with the various substances of abuse and should be able to recognize the "telltale" signs of abuse. Effective management is based on attention to the basics of life support, careful attention to the physical findings, and judicious use of specific therapeutic agents. Above all, a compassionate attitude should prevail if acute-phase recovery and long-term rehabilitation are to be successful.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |
3/3. Prolonged depersonalization after marijuana use.The author describes four cases of prolonged depersonalization that occurred months after marijuana use. Each occurred in the setting of a stressful life event. depersonalization is a common experience during acute intoxication with marijuana, and these cases suggest that after the patients had experienced depersonalization, external stressors and intrapsychic factors may have contributed to its continued use as a defense mechanism.- - - - - - - - - - ranking = 1keywords = intoxication (Clic here for more details about this article) |