A 25-year-old with type 1 diabetes and chronic cannabis use developed cannabinoid hyperemesis syndrome with vomiting and epigastric pain.
Emergency physicians, endocrinologists, and gastroenterologists.
Diagnostic challengeCHS in a diabetic patient can mimic gastroparesis or other diabetes-related GI conditions
What the researchers found
Case demonstrates the importance of recognizing CHS in patients with complex medical histories, particularly as recreational marijuana legalization increases chronic cannabis use.
Why it matters
CHS can be misdiagnosed as diabetic gastroparesis or other conditions in patients with type 1 diabetes, leading to unnecessary workups and delayed treatment.
The numbers in context
25-year-old male with type 1 diabetes and chronic cannabis use presenting with vomiting and epigastric pain.
How the study worked
Case report with literature review of CHS treatment options.
Who was studied
Single 25-year-old male patient with type 1 diabetes and chronic cannabis use.
What this study cannot tell us
Single case report. Cannot establish generalizability. Diagnostic overlap with diabetic conditions complicates clinical picture.
How to read the evidence
Single case report; provides clinical awareness but no generalizable evidence.
When this study was published
Recent case report reflecting growing CHS recognition.
The bigger picture
As CHS awareness grows, clinicians must consider it in the differential diagnosis for vomiting in cannabis users, even when other medical conditions could explain symptoms.
Replication
Case report; systematic studies of CHS in diabetic populations needed.
Funding
Not specified in abstract
Conflicts of interest
Not specified in abstract
Questions still open
- How often is CHS misdiagnosed as diabetic gastroparesis?
- What are the optimal treatment approaches for CHS?
Read the original research
Cannabis Hyperemesis Syndrome in a Young Patient: A Case Report and Literature Review.
Cureus, 15(8), e43868
Citation
Khalid, Noman; Abdullah, Muhammad; Khalil, Musa; Afzal, Muhammad Adil; Hindawi, Mulham. (2023). Cannabis Hyperemesis Syndrome in a Young Patient: A Case Report and Literature Review.. Cureus, 15(8), e43868. https://doi.org/10.7759/cureus.43868