Koro is a culture-bound psychogenic illness of South-East Asia but also reported from several European countries like Britain, Czech Republic, France, Germany, Greece, Hungary, Italy, Ireland, Poland, Portugal, Spain, and Turkey but all case reports were of male Koro cases, except the Hungary report. We report a case of a Koro-like presentation with reactive depression (ICD 10 Code: F32) in a Caucasian female from England along with a brief review of world Koro literature on female Koro. It is the first Koro reporting in a Caucasian female. We conclude with the emphasis on psychosexual history taking in each case to understand Koro's culture-boundness.
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