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When Dhat Syndrome is Delusional: A Case Series.

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    Dhat syndrome, linked to semen loss anxiety, can present as delusional disorder. This report details two cases, highlighting the need for further research into Dhat syndrome and psychosis connections.

    Keywords:
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    Area of Science:

    • Psychiatry
    • Cultural Psychiatry
    • Psychopathology

    Background:

    • Dhat syndrome is a culture-bound condition characterized by anxiety and somatic symptoms attributed to semen loss.
    • While primarily affecting men, it can manifest in women with vaginal discharge.
    • Previous literature documents only one case linking Dhat delusion to schizophrenia.

    Observation:

    • This case report describes two individuals with somatic-type delusional disorder exhibiting Dhat-like symptoms.
    • Both patients initially presented with classical signs and symptoms of Dhat syndrome.
    • The presentation suggests a potential overlap between Dhat syndrome and delusional disorders.

    Findings:

    • The study identifies two new cases of Dhat-like symptoms within a delusional disorder framework.
    • These cases expand the understanding of how Dhat syndrome may present in conjunction with other psychiatric conditions.
    • The findings underscore the complexity of somatic symptom presentations in psychiatric disorders.

    Implications:

    • Further research is warranted to explore the intersection of Dhat syndrome and various psychoses.
    • Investigating the risk factors for the mutual predisposition between Dhat syndrome and psychosis is crucial.
    • This study contributes to a better understanding of culture-bound syndromes and their relationship with broader psychiatric diagnoses.