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Transcultural Psychiatry
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Ramadan Fasting Triggering Koro-like Symptoms during Acute Alcohol Withdrawal: A Case Report from Oman

Hamed Al-Sinawi

Sultan Qaboos University, senawi{at}squ.edu.om

Samir Al-Adawi

Sultan Qaboos University, adawi{at}squ.edu.om

Amr Al-Guenedi

Sultan Qaboos University, amrguenedi{at}hotmail.com

This article describes a case of koro-like symptoms from Oman associated with alcohol withdrawal and illustrates how the socio-cultural practices of Ramadan-fasting affected the patterning and timing of presentation of severe alcohol withdrawal symptoms. The patient was severely distressed by the delusion that his penis had been amputated. The acute anxiety involving this delusion appears to be conceptually and phenomenologically similar to koro.

Key Words: alcohol withdrawal • castration anxiety • erectile dysfunction • Islam • koro • Oman • Ramadan

Transcultural Psychiatry, Vol. 45, No. 4, 695-704 (2008)
DOI: 10.1177/1363461508100791
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