Delusions of Parasitosis and Other Forms of Monosymptomatic Hypochondriacal Psychosis

Koo, John; Gambla, Charles

doi:10.1016/s0733-8635(05)70370-3

Cited by 42 publications

(32 citation statements)

References 13 publications

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“…The other open or retrospective studies (Table 4) and case reports published after these two studies did not improve evidence on the use of pimozide in DI (39,63,92,122,125,161,172,220,270). Still, the second, open study by Ungvari is noteworthy (published twice [331,332]).…”

Section: Typical Antipsychoticsmentioning

confidence: 99%

“…The clinics of Musalek and Trabert closed some years ago with the end of their research. Unfortunately, this approach is limited to a few similar services and initiatives today (for example, James Slaughter's group at the University of Missouri [77,300,351], John Koo's group at UCLA [161][162][163], R. E. Accordino at the New York Presbyterian Hospital's Psychodermatology Clinic [1], Uwe Gieler in Giessen, Germany [112], and Ruth E. Taylor in London, United Kingdom). Outcome research from such clinics would be welcome to evaluate this treatment setting.…”

Section: Treatment Goalsmentioning

confidence: 99%

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Delusional Infestation

Freudenmann

Lepping²

2009

Clin Microbiol Rev

235

367

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SUMMARY This papers aims at familiarizing psychiatric and nonpsychiatric readers with delusional infestation (DI), also known as delusional parasitosis. It is characterized by the fixed belief of being infested with pathogens against all medical evidence. DI is no single disorder but can occur as a delusional disorder of the somatic type (primary DI) or secondary to numerous other conditions. A set of minimal diagnostic criteria and a classification are provided. Patients with DI pose a truly interdisciplinary problem to the medical system. They avoid psychiatrists and consult dermatologists, microbiologists, or general practitioners but often lose faith in professional medicine. Epidemiology and history suggest that the imaginary pathogens change constantly, while the delusional theme “infestation” is stable and ubiquitous. Patients with self-diagnosed “Morgellons disease” can be seen as a variation of this delusional theme. For clinicians, clinical pathways for efficient diagnostics and etiology-specific treatment are provided. Specialized outpatient clinics in dermatology with a liaison psychiatrist are theoretically best placed to provide care. The most intricate problem is to engage patients in psychiatric therapy. In primary DI, antipsychotics are the treatment of choice, according to limited but sufficient evidence. Pimozide is no longer the treatment of choice for reasons of drug safety. Future research should focus on pathophysiology and the neural basis of DI, as well as on conclusive clinical trials, which are widely lacking. Innovative approaches will be needed, since otherwise patients are unlikely to adhere to any study protocol.

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Section: Typical Antipsychoticsmentioning

confidence: 99%

Section: Treatment Goalsmentioning

confidence: 99%

Delusional Infestation

Freudenmann

Lepping²

2009

Clin Microbiol Rev

235

367

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“…Hastal›¤›n iki evrede art›fl gösterdi¤i ilk evrenin 20-30 yafllar› aras›nda, di¤er evrenin ise 50 yafl›ndan sonra oldu¤u belirtilmektedir. Ayr›ca evli kiflilerde düflük e¤itim ve sosyoekonomik seviyede daha yüksek oranda görülmektedir 16 . Sosyal izolasyon hastal›¤›n gelifliminde bir risk etkeni olarak belirtilmektedir 17 .…”

Section: Delüzyonel Parazitozunclassified

“…Delüzyon benzeri bu olay kokain için çok tipik olup "Kokain Böcekleri" olarak an›l›r. Ayr›ca Phenilsine, metil phenidate, atropin ve zaman zaman da kortikosteroid ve alkolün delüzyon benzeri belirtiler yapabilece¤i bildirilmifltir 10,11,15,16,19,20 . Olgular flikayetlerinin bedensel bir hastal›ktan kaynakland›¤›-na ve psikiyatrik tedavinin bedensel olan hastal›klar›na çözüm getirmeyece¤ine inan›rlar ve genelde aile hekimi, dermatolog gibi psikiyatri d›fl› hekimlere baflvururlar 12,13,21 .…”

Section: ‹Kincil Fonksiyonel Delüzyonel Parazitozunclassified

“…Son zamanlarda s›n›rda kiflilik bozukluklar› ve vü-cut dismorfik bozukluklar› ile olan ilgiden sözedilmektedir 68,69 . Baz› hastalarda artefakt lezyonlar› ani bir psikososyal strese www.turkderm.org.tr [16][17][18][19][20][21][22][23][24] karfl› gelifltirilmifl geçici bir patolojik reaksiyon olarak ç›kabilir ve bu olgular› görece hafif olgular olarak nitelemek mümkün-dür, tedaviye de yan›t verme flanslar› yüksektir. Ayr›nt›l› psikiyatrik görüflmede bu tarz stresörler tespit edilebilir.…”

Section: Artefakt Dermatitiunclassified

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