title: A case of Klingsor Syndrome: when there is no longer psychosis.
abstract: The following case report describes an act of genital self mutilation. An employed, unmarried male suffering from schizophrenia paranoid type, autocastrated his genitalia during a period of illness when his psychotic symptoms were absent. Sufficient attention may not have been paid to his depressive symptomatology which may be primary as a core feature or secondary, in what can be called post-psychotic depression. The vulnerability of committing such an act increases when the person appears to be symptom-free and regaining insight. After a review of the available literature, it is considered that this case best fits the description for Klingsor Syndrome.
authors.affiliation: Calcutta National Medical College and Hospital, Kolkata, India. rankholders06@yahoo.co.in
authors.forename: Ranjan
authors.initials: R
authors.lastname: Bhattacharyya
authors.forename: Debasish
authors.initials: D
authors.lastname: Sanyal
authors.forename: Krishna
authors.initials: K
authors.lastname: Roy
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001364:Awareness; D001569:Benzodiazepines / Q000627:therapeutic use; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D000077152:Olanzapine; D009919:Orchiectomy / Q000523:psychology*; D010413:Penis / Q000293:injuries; D011569:Psychiatric Status Rating Scales; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D012611:Scrotum / Q000293:injuries; D012652:Self Mutilation / Q000523:psychology*; D013577:Syndrome
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D000077152:Olanzapine