Ochoa-Mangado Enriqueta, Jiménez Giménez Mónica, Salvador Vadillo Estrella, Madoz-Gúrpide Agustín
Servicio de Psiquiatría, Hospital Universitario Ramón y Cajal, Madrid, España.
Gastroenterol Hepatol. 2009 Jun-Jul;32(6):406-9. doi: 10.1016/j.gastrohep.2009.02.002. Epub 2009 May 27.
Cannabinoid hyperemesis is characterized by recurring episodes of nausea and vomiting, with a stereotyped pattern, related to cannabis consumption. This syndrome is a paradoxical reaction to cannabis that develops in susceptible chronic cannabis users after several years of exposure. There is a direct relationship between cannabis use and the onset of the hyperemesis and between cessation of cannabis use and symptom resolution. The first cases were described in 2004. Since then, several new cases have been reported, although there are few studies of this syndrome. We report a case of chronic cannabis use with nausea and cyclic vomiting for 7 years. The symptoms were relieved by hot baths. A complete gastroenterological study was performed and no alterations were found. Cannabis use and its cessation are related to the presence or absence of the symptoms.
大麻素性呕吐综合征的特征是反复出现恶心和呕吐发作,具有刻板模式,与大麻使用有关。这种综合征是对大麻的一种矛盾反应,在易感的慢性大麻使用者经过数年接触后出现。大麻使用与呕吐综合征的发作之间以及停止使用大麻与症状缓解之间存在直接关系。首例病例于2004年被描述。从那时起,尽管对该综合征的研究很少,但已有几例新病例被报道。我们报告一例慢性大麻使用者,伴有7年的恶心和周期性呕吐。热水浴可缓解症状。进行了全面的胃肠病学检查,未发现异常。大麻使用及其停止与症状的出现或消失有关。