Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis
Cannabis is the most cultivated and abused illicit drug worldwide. Paradoxically to the antiemetic properties attributed to cannabis, a relatively new cannabinoid hyperemesis syndrome (CHS) started to be recognized and is characterized by cyclic vomiting that are interspaced by asymptomatic phases....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Portuguesa de Psiquiatria e Saúde Mental
2020-12-01
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| Series: | Revista Portuguesa de Psiquiatria e Saúde Mental |
| Subjects: | |
| Online Access: | https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/133 |
| _version_ | 1830233269949431808 |
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| author | João B. Fonseca Daniela Vilaverde Rosa Rodrigues Pedro Morgado |
| author_facet | João B. Fonseca Daniela Vilaverde Rosa Rodrigues Pedro Morgado |
| author_sort | João B. Fonseca |
| collection | DOAJ |
| description | Cannabis is the most cultivated and abused illicit drug worldwide. Paradoxically to the antiemetic properties attributed to cannabis, a relatively new cannabinoid hyperemesis syndrome (CHS) started to be recognized and is characterized by cyclic vomiting that are interspaced by asymptomatic phases. We present a case of a 36‑year‑old woman who repeatedly presented to the emergency room with cyclic vomiting that alleviated with hot showers. She was a long‑term cannabis user and the diagnosis was only established several years later after the onset of symptoms. The diagnostic work up was unremarkable, and the only effective treatment was cannabis cessation. Hot bathing behavior is a key characteristic of this syndrome. CHS is a new clinical condition that should be considered in a setting of recurrent and intractable vomiting in patients with a history of cannabis use. |
| first_indexed | 2024-12-18T11:53:52Z |
| format | Article |
| id | doaj.art-c9d5b6ae0e724d578baba6d0d936b502 |
| institution | Directory Open Access Journal |
| issn | 2184-5522 2184-5417 |
| language | English |
| last_indexed | 2024-12-18T11:53:52Z |
| publishDate | 2020-12-01 |
| publisher | Sociedade Portuguesa de Psiquiatria e Saúde Mental |
| record_format | Article |
| series | Revista Portuguesa de Psiquiatria e Saúde Mental |
| spelling | doaj.art-c9d5b6ae0e724d578baba6d0d936b5022022-12-21T21:09:07ZengSociedade Portuguesa de Psiquiatria e Saúde MentalRevista Portuguesa de Psiquiatria e Saúde Mental2184-55222184-54172020-12-016310.51338/rppsm.2020.v6.i3.133Cannabinoid Hyperemesis Syndrome: The Missed DiagnosisJoão B. Fonseca0Daniela Vilaverde1Rosa Rodrigues2Pedro Morgado3Hospital Senhora da Oliveira, Guimarães, Portugal; Hospital de Braga, Braga, PortugalHospital de Braga, Braga, PortugalHospital Senhora da Oliveira, Guimarães, PortugalHospital de Braga, Braga, Portugal; ICVS‑3Bs PT Government Associate Laboratory, Braga/Guimarães, Portugal; Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, PortugalCannabis is the most cultivated and abused illicit drug worldwide. Paradoxically to the antiemetic properties attributed to cannabis, a relatively new cannabinoid hyperemesis syndrome (CHS) started to be recognized and is characterized by cyclic vomiting that are interspaced by asymptomatic phases. We present a case of a 36‑year‑old woman who repeatedly presented to the emergency room with cyclic vomiting that alleviated with hot showers. She was a long‑term cannabis user and the diagnosis was only established several years later after the onset of symptoms. The diagnostic work up was unremarkable, and the only effective treatment was cannabis cessation. Hot bathing behavior is a key characteristic of this syndrome. CHS is a new clinical condition that should be considered in a setting of recurrent and intractable vomiting in patients with a history of cannabis use.https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/133BathsCannabinoids/adverse effectsMarijuana Abuse/complicationsSyndromeVomiting/chemically induced |
| spellingShingle | João B. Fonseca Daniela Vilaverde Rosa Rodrigues Pedro Morgado Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis Revista Portuguesa de Psiquiatria e Saúde Mental Baths Cannabinoids/adverse effects Marijuana Abuse/complications Syndrome Vomiting/chemically induced |
| title | Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis |
| title_full | Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis |
| title_fullStr | Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis |
| title_full_unstemmed | Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis |
| title_short | Cannabinoid Hyperemesis Syndrome: The Missed Diagnosis |
| title_sort | cannabinoid hyperemesis syndrome the missed diagnosis |
| topic | Baths Cannabinoids/adverse effects Marijuana Abuse/complications Syndrome Vomiting/chemically induced |
| url | https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/133 |
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