RESUMO
The authors are reporting a case of koro syndrome which was associated with major depression. Koro syndrome is a rare disease which manifests itself with a severe anxiety associated with the fear of having the penis shrinking and disappearing in the abdomen. The case reported was treated with trimipramine, a tricyclic antidepressant, at a dose of 150 mg/day associated with bromazepam, a benzodiazepine. In addition, the patient received psychotherapy, which allowed him to deal with the situation and to eliminate guilt feelings. It is hypothesized that the tricyclic antidepressant, by treating the depression, had a curative effect on the koro syndrome.
Assuntos
Angústia de Castração/tratamento farmacológico , Delusões/tratamento farmacológico , Transtorno Depressivo/tratamento farmacológico , Dibenzazepinas/uso terapêutico , Medo/efeitos dos fármacos , Pânico/efeitos dos fármacos , Trimipramina/uso terapêutico , Adulto , Angústia de Castração/psicologia , Bromazepam/uso terapêutico , Terapia Combinada , Transtorno Depressivo/psicologia , Quimioterapia Combinada , Humanos , Masculino , PsicoterapiaRESUMO
A case of a patient with monosymptomatic hypochondriasis exhibiting koro-like symptoms is reported. The patient did not respond to pimozide, but improved with a tricyclic antidepressant and has remained symptom-free for 1.5 years.
