Management of Morgellons Disease With Low-Dose Trifluoperazine.

JAMA Dermatol

Department of Dermatology, Weill Cornell Medical College, New York, New York.

Published: February 2018

This medical record review examines the novel use of low-dose trifluoperazine, a high-potency typical antipsychotic, in a cohort of patients with Morgellons disease.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839272PMC
http://dx.doi.org/10.1001/jamadermatol.2017.5175DOI Listing

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Article Synopsis
  • Delusional infestation (DI) is a psychological condition where individuals wrongly believe they are infested with parasites or other pathogens, despite lacking any medical evidence.
  • The concept of infestation has expanded to include non-living objects, particularly with the controversy surrounding Morgellons disease, which involves fibers emerging from the skin.
  • A case study of a 40-year-old woman highlights the blurring line between DI and Morgellons disease, suggesting that they may be related rather than distinct medical issues.
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Perceived Conjunctival Foreign Material Egress in Morgellons Disease: A Case Study.

Case Rep Psychiatry

May 2024

Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, USA.

The purpose of this report is to present a case of a 63-year-old man with orbital Morgellons disease. A 63-year-old man presented reporting 15 years of daily egress of different foreign bodies apparently found in the superior fornices of both eyes, exhibiting a classic manifestation known as the matchbox sign. He described the symptoms starting after a facial trauma.

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Morgellons disease is characterized by the persistent delusion of skin infestation, ultimately inflicting wounds and impairing quality of life. There is insufficient and conflicting research pertaining to this condition, imposing challenges on clinicians in understanding, diagnosing, and treating it. In this review, we summarize the available literature on Morgellons disease including its historical evolution, epidemiology, proposed pathophysiology, underlying structural and functional brain pathologies, typical and atypical clinical presentations, diagnosis, and treatment.

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