Delusional parasitosis is a rare psycho-dermatological disorder that lacks standard management guidelines. We report a case of an elderly woman with long standing multiple dermatological illnesses who later developed delusional parasitosis. We highlight the pertinent diagnostic and therapeutic challenges. We support multidisciplinary collaborative care combining effective pharmacotherapy with efficient non-pharmacological measures.
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Delusional parasitosis (Ekbom's syndrome).
Semergen
December 2024
Department of Dermatology, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Instituto de Investigación Sanitaria (IIS) La Fe, Valencia, Spain; Department of Medicine, Facultat de Medicina i Odontología, Universitat de València, Valencia, Spain.
From empiric anti-scabietic treatments to delusional infestation: A case report.
Am J Emerg Med
December 2024
University of Michigan Department of Dermatology, 1500 E. Medical Center Dr, Ann Arbor, MI 48105, United States of America.
Chronic pruritus accounts for approximately 1 % of all physician visits, and providers are often confronted with how to treat patients with pruritus. Scabies is oftentimes a concern by both patients and providers, and anti-scabietic treatments are generally considered safe and effective. However, the pruritus will continue if there is an alternate etiology.
View Article and Find Full Text PDFPatient Information Leaflet Feedback on Delusional Infestation.
Clin Exp Dermatol
October 2024
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Background: Delusional parasitosis, also known as Ekbom syndrome, is a poorly understood condition often surrounded by misinformation. Patients and their families frequently encounter skepticism regarding their experiences. This research aimed to create a patient information leaflet (PIL) with a patient centred approach and to gather feedback on its usefulness for sharing information and validating their experiences.
View Article and Find Full Text PDFBrexpiprazole for a Patient with Ekbom Syndrome with Intolerable Side Effect of Aripiprazole.
Psychiatry Clin Psychopharmacol
September 2024
Department of Psychiatry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Article Synopsis
- Ekbom's syndrome, or delusional parasitosis, is a rare psychiatric disorder characterized by a strong belief in having an infestation without hallucinations or major thought issues.
- It has two forms: primary, which features delusions and unusual sensations, and secondary, caused by an underlying health issue.
- A case study shows that atypical antipsychotics like aripiprazole and brexpiprazole can effectively treat primary Ekbom's syndrome, with brexpiprazole potentially causing fewer side effects like tremors.
Article Synopsis
- Delusional parasitosis is a psychotic disorder where individuals believe they are infested with parasites, while shared paranoid disorder (folie à deux) occurs when two closely related people share similar delusions.
- A case study involving a married couple revealed that the husband experienced sensations and beliefs about parasites, leading to the wife also developing similar symptoms, indicating a shared delusion.
- Treatment included medications like sertraline and risperidone, but due to side effects and financial constraints, the husband's condition required adjustments, and separating the couple's sleeping arrangements significantly alleviated the wife's symptoms.
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