title: Ramadan fasting triggering koro-like symptoms during acute alcohol withdrawal: a case report from Oman.
abstract: 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.
authors.affiliation: Department of Behavioral Medicine, Sultan Qaboos University, Muscat, Sultanate of Oman. senawi@squ.edu.om
authors.forename: Hamed
authors.initials: H
authors.lastname: Al-Sinawi
authors.forename: Samir
authors.initials: S
authors.lastname: Al-Adawi
authors.forename: Amr
authors.initials: A
authors.lastname: Al-Guenedi
mesh_terms: D000430:Alcohol Withdrawal Delirium / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy; D007172:Erectile Dysfunction / Q000208:ethnology / Q000523:psychology; D005190:Family / Q000208:ethnology / Q000523:psychology; D005215:Fasting / Q000523:psychology*; D006693:Holidays / Q000523:psychology*; D006801:Humans; D007514:Islam; D016911:Koro / Q000208:ethnology* / Q000523:psychology; D008273:Magic / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009850:Oman; D010343:Patient Admission; D012069:Religion and Psychology