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Underwear fetishism induced by bilaterally decreased cerebral blood flow in the temporo-occipital lobe
  1. Koji Masuda,
  2. Yoshinobu Ishitobi,
  3. Yoshihiro Tanaka,
  4. Jotao Akiyoshi
  1. Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu-Shi, Oita, Japan
  1. Correspondence to Dr Jotao Akiyoshi, akiyoshi{at}

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Fetishism is a disease characterised by sexual arousal caused by inanimate objects, often including clothing such as pants, bras, and stockings and women's shoes. Patients with fetishism often show a strong interest in non-genital body parts. Hypotheses based on biology, conditioning, social learning and psychoanalysis have been proposed to explain the underlying mechanism of fetishism. However, it is difficult to elucidate the aetiology of this rare disease on the basis of large-scale evaluations. We previously reported that hippocampal agenesis was associated with hypersexuality, considering that …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.