Intended for healthcare professionals


PPUD syndrome (post PLAB unemployed doctor's syndrome)

BMJ 2006; 332 doi: (Published 02 February 2006) Cite this as: BMJ 2006;332:283
  1. Surinder Sareen, unemployed doctor (
  1. Grantham

    In an effort to keep up an old medical tradition, I report a new syndrome, prevalent in the age group 25-35, but some cases are seen in the early 40s. Both sexes are equally affected. It is endemic in east London, but sporadic cases can be seen all over Britain. It is mostly found in immigrants from the Indian subcontinent and is characterised by the following features.

    Depression—The hallmark of the syndrome, with 90% suffering from it at some time or other.

    Insomnia—Patients are not able to sleep even though they stay in bed all night and even …

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