Hdl Handle:
http://hdl.handle.net/10147/206317
Title:
Delusional parasitosis: lessons learnt.
Authors:
Ahmad, Kashif; Ramsay, Bart
Affiliation:
Department of Dermatology, Mid Western Regional Hospital, Dooradoyle, Limerick,, Ireland. kashifaa2002@gmail.com
Citation:
Acta Derm Venereol. 2009;89(2):165-8.
Journal:
Acta dermato-venereologica
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206317
DOI:
10.2340/00015555-0587
PubMed ID:
19326002
Abstract:
Delusional parasitosis manifests in the patient's firm belief that they have skin symptoms due to an infestation with insects. Patients often refuse to seek psychiatric care. This study reassessed patients with delusional parasitosis in order to review and learn from them, which is important due to the significant morbidity of this condition and the therapeutic difficulties it presents to the dermatologist. Between 1995 and 2008, 13 patients with delusional parasitosis (6 men, 7 women; mean age 46 years) were included in this retrospective study. Mean duration of follow-up was 50.1 months. Nine patients were treated with pimozide, but only two had complete remission. Four were treated with sulpiride with two reported partial remissions. Risperidone was given to four patients, resulting in one partial remission. Eight patients were seen in the last 6 months and five were lost to follow-up. These findings highlight the difficulties encountered in diagnosing delusional parasitosis, the lack of response to neuroleptic medication, compliance problems and the dermatologist's dilemma of managing a psychiatric condition in a dermatological setting.
Language:
eng
MeSH:
Adult; Aged; Antipsychotic Agents/therapeutic use; Delusions/*diagnosis/drug therapy; Female; Humans; Male; Middle Aged; Skin Diseases, Parasitic/diagnosis/*psychology
ISSN:
0001-5555 (Print); 0001-5555 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAhmad, Kashifen_GB
dc.contributor.authorRamsay, Barten_GB
dc.date.accessioned2012-01-31T16:46:20Z-
dc.date.available2012-01-31T16:46:20Z-
dc.date.issued2012-01-31T16:46:20Z-
dc.identifier.citationActa Derm Venereol. 2009;89(2):165-8.en_GB
dc.identifier.issn0001-5555 (Print)en_GB
dc.identifier.issn0001-5555 (Linking)en_GB
dc.identifier.pmid19326002en_GB
dc.identifier.doi10.2340/00015555-0587en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206317-
dc.description.abstractDelusional parasitosis manifests in the patient's firm belief that they have skin symptoms due to an infestation with insects. Patients often refuse to seek psychiatric care. This study reassessed patients with delusional parasitosis in order to review and learn from them, which is important due to the significant morbidity of this condition and the therapeutic difficulties it presents to the dermatologist. Between 1995 and 2008, 13 patients with delusional parasitosis (6 men, 7 women; mean age 46 years) were included in this retrospective study. Mean duration of follow-up was 50.1 months. Nine patients were treated with pimozide, but only two had complete remission. Four were treated with sulpiride with two reported partial remissions. Risperidone was given to four patients, resulting in one partial remission. Eight patients were seen in the last 6 months and five were lost to follow-up. These findings highlight the difficulties encountered in diagnosing delusional parasitosis, the lack of response to neuroleptic medication, compliance problems and the dermatologist's dilemma of managing a psychiatric condition in a dermatological setting.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAntipsychotic Agents/therapeutic useen_GB
dc.subject.meshDelusions/*diagnosis/drug therapyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshSkin Diseases, Parasitic/diagnosis/*psychologyen_GB
dc.titleDelusional parasitosis: lessons learnt.en_GB
dc.contributor.departmentDepartment of Dermatology, Mid Western Regional Hospital, Dooradoyle, Limerick,, Ireland. kashifaa2002@gmail.comen_GB
dc.identifier.journalActa dermato-venereologicaen_GB
dc.description.provinceMunster-

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