From the May 1978 magazine.

About Alcoholism - Alcoholism Information, Research and Treatment

Alcoholism Andean Style

Many of these items are contrary to AA philosophy. Their publication here does not mean that the Grapevine endorses or approves them; they are offered solely for your information.

A unique syndrome, found only in the region of La Paz, Bolivia, was reported by Cesar A. Fabiani, MD, of La Paz, and Edward F. Foulks, MD, of the University of Pennsylvania. The Bolivian alcoholic pseudotetany, known locally as tis-ta-pis or "shrinking," is a syndrome resembling tetany, with painful spasms and fasciculations of the muscles of the upper limbs accompanied by intense fear and anxiety. It occurs in about 10% of chronic alcoholics as well as episodic-heavy drinkers.

-- Physician's Alcohol Newsletter

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