Cannabinoid Hyperemesis Syndrome: A Paradoxical Cannabis Effect.
Despite well-established antiemetic properties of marijuana, there has been increasing evidence of a paradoxical effect in the gastrointestinal tract and central nervous system, given rise to a new and underrecognized clinical entity called the Cannabinoid Hyperemesis Syndrome. Reported cases in the medical literature have established a series of patients exhibiting a classical triad of symptoms: cyclic vomiting, chronic marijuana use, and compulsive bathing. We present a case of a 29-year-old man whose clinical presentation strongly correlates with cannabinoid hyperemesis syndrome. Despite a diagnosis of exclusion, this syndrome should be considered plausible in the setting of a patient with recurrent intractable vomiting and a strong history of cannabis use as presented in this case.
Internal Medicine Program, Department of Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PR 00921-3201, USA.
Ivonne Marie
IM
Figueroa-Rivera
Internal Medicine Program, Department of Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PR 00921-3201, USA.
Rodolfo
R
Estremera-Marcial
Internal Medicine Program, Department of Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PR 00921-3201, USA.
Marielly
M
Sierra-Mercado
Internal Medicine Program, Department of Internal Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, PR 00921-3201, USA.
José
J
Gutiérrez-Núñez
Department of Gastroenterology, Veterans Affairs Caribbean Healthcare System, San Juan, PR 00921-3201, USA.
Doris H
DH
Toro