BMJ Case Reports 2010; doi:10.1136/bcr.08.2008.0679
  • Rare disease

Koro-like symptoms in two Greek men

  1. Georgios Garyfalos1
  1. 1Aristotle University of Thessaloniki, 2nd Psychiatric Department, Dodekanisou 2, Polichni, 56533, Greece
  2. 2Aristotle University of Thessaloniki, 1st Psychiatric Department, Papageorgiou Hospital, Thessaloniki, 56533, Greece
  3. 3Psychiatric Hospital of Thessaloniki, Mental Health Center of Central District of Thessaloniki, Karaoli kai Dimitriou 1, Thessaloniki, 54630, Greece
  1. Correspondence to Evangelos Ntouros, duro_8{at}
  • Published 15 March 2010


Koro syndrome is a psychiatric disorder characterised, in its typical form, by acute and intense anxiety, with complaints in men of a shrinking penis or fear of its retraction into the abdomen and resultant death. Initially, this syndrome was described as a culture specific disorder. Sporadic cases referred to as the koro-like syndrome have been observed in western countries recently. They are more likely to appear in the context of a psychiatric or neurological disorder. The clinical course of culture bound koro syndrome is usually self limited, but in some cases it can be transient or take on a chronic or recurrent form, lasting from days to weeks, months or even years. We present two cases, one of a middle aged man whose koro-like symptoms have persisted for over 18 years in a relapse mode that is rarely observed, and one of a young schizophrenic, who also exhibits koro-like symptoms.


  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

Responses to this article

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article