Vómitos cíclicos secundarios al consumo de cannabis / Cyclical hyperemesis secondary to cannabis abuse

RESUMEN

La hiperemesis cannabinoide se caracteriza por la presentación de episodios recurrentes de náuseas y vómitos, con un patrón estereotipado, relacionados con el consumo de cannabis. Es un efecto paradójico del cannabis, que se presenta en consumidores crónicos susceptibles, tras años de exposición, con relación directa entre el consumo y su presentación, y que desaparece al cesar el consumo. Los primeros casos se describieron en 2004, y posteriormente se han reseñado otros, aunque los estudios sobre este síndrome son escasos. A continuación se presenta el caso de un varón de 25 años, consumidor crónico diario de cannabis, con náuseas y vómitos cíclicos de 7 años de evolución, que mejoran con baños muy calientes, con estudio gastroenterológico completo sin alteraciones. El consumo de cannabis (AU)

ABSTRACT

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 (AU)