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Z Gastroenterol 2011; 49(11): 1479-1481
DOI: 10.1055/s-0029-1246107
Kasuistik

© Georg Thieme Verlag KG Stuttgart · New York

Hyperemesis and a High Water Bill

Hyperemesis und eine hohe WasserrechnungS. Fleig1 , R. Brunkhorst2
  • 1Klinik für Nieren- und Hochdruckerkrankungen, Zentrum Innere Medizin, Medizinische Hochschule Hannover
  • 2Medizinische Klinik I, Klinikum Oststadt-Heidehaus, Hannover
Further Information

Publication History

manuscript received: 29.11.2010

manuscript accepted: 1.2.2011

Publication Date:
08 November 2011 (online)

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Zusammenfassung

Ein 28-jähriger Patient wurde mit Hyperemesis aufgenommen, die seit mehreren Tagen bestand und ambulant nicht zu therapieren war. Alle gängigen Differenzialdiagnosen wurden ausgeschlossen, alle Untersuchungen blieben ohne pathologischen Befund. Er berichtete über regelmäßigen Cannabis-Konsum und zeigte ein auffälliges Waschverhalten: mehrfach am Tag nahm er eine heiße Dusche, die einzelnen Sitzungen dauerten jeweils über eine Stunde. Dies war die einzige Maßnahme, die seine Übelkeit wirksam minderte. Aufgrund dieser klinischen Befunde konnte die Diagnose eines cannabisinduzierten Hyperemesis-Syndroms gestellt werden (cannabinoid hyperemesis syndrome). Nach dem Cannabis-Entzug blieb er symptomfrei. Das cannabisinduzierte Hyperemesis-Syndrom wurde erstmals 2004 in Australien beschrieben und ist eine oft unerkannte Ursache von therapierefraktärer Hyperemesis in der Kombination mit zwanghaftem Waschverhalten. Unseres Wissens handelt es sich um den ersten berichteten Fall aus Deutschland.

Abstract

A male patient aged 28 years was admitted with hyperemesis that did not cease in spite of different therapeutic approaches and had persisted for several days. A wide range of differential diagnoses was excluded and all tests remained without pathological findings. He reported regular cannabis use and showed abnormal bathing behavior taking hot showers several times a day for more than one hour each, which was the only measure to ease his nausea; on the basis of these clinical findings, the diagnosis of cannabinoid hyperemesis syndrome was made. After detoxification, he remained free of symptoms. Cannabinoid hyperemesis syndrome was first described in 2004 in Australia and is an underrecognized cause of hyperemesis and abnormal bathing behavior. To the best of our knowledge, this is the first reported case in Germany.

Schlüsselwörter

cannabisinduziertes Hyperemesis-Syndrom - Hyperemesis - zwanghaftes Waschverhalten - Cannabisabusus

Key words

cannabinoid hyperemesis syndrome - hyperemesis - compulsive bathing - marijuana abuse

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Susanne Fleig

Klinik für Nieren- und Hochdruckerkrankungen, Zentrum Innere Medizin, Medizinische Hochschule Hannover

Carl-Neuberg-Str. 1

30625 Hannover

Germany

Phone: + 49/5 11/5 32 63 19

Fax: + 49/5 11/55 23 66

Email: fleig.susanne@mh-hannover.de

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