Three cases of monosymptomatic delusion of alimentary stench are described. Each patient was referred for behaviour therapy as a last resort, after extensive medical investigation for halitosis or flatulence and failure of other psychiatric treatment. Two of the patients showed clinical improvement after treatment, sustained at follow-up. Monosymptomatic delusion is now a treatable condition and is important to diagnosis.
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http://dx.doi.org/10.1192/bjp.138.1.64 | DOI Listing |
Case Rep Dent
April 2023
Department of Oral Medicine, Ministry of Health of Kuwait, P. O. Box (5), Safat 13001, Kuwait.
J Am Acad Dermatol
May 2019
Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina.
Isr Med Assoc J
July 2018
Department of Psychiatry, Hadassah-Hebrew University Medical Center, Ein Kerem Campus, Jerusalem, Israel.
Delusional parasitosis (DP) is a somatic type of delusional disorder, usually mono-symptomatic, in which the patients are convinced they are being infested with animal parasites while no objective evidence exists to support this belief. The complaints are usually about skin infestation, but involvement of the gastrointestinal tract has also been described. Numerous samples are brought for examination from skin, clothes, and environmental sources, while a detailed description of the "parasite" is given.
View Article and Find Full Text PDFPsychiatriki
October 2018
Consultant Psychiatrist, Department of Psychological Medicine, Honorary Clinical Associate Professor, University of Nottingham, UK.
The Delusional Misidentification Syndromes (DMSs) are characterized by defective integration of the normally The Delusional Misidentification Syndromes (DMSs) are characterized by defective integration of the normally fused functions of perception and recognition. The classical sub-types are: the syndromes of Capgras, Fregoli,Intermetamorphosis (mentioned in 3) and Subjective doubles. These syndromes occur in a clear sensorium and shouldbe differentiated from the banal transient misidentifications occurring in confusional states and in mania and from thenon-delusional misidentifications (e.
View Article and Find Full Text PDFPhantom bite syndrome was first described by Marbach over 40 years ago as a mono-symptomatic hypochondriacal psychosis. He used the term to describe a prolonged syndrome in which patients report that their ‘bite is wrong’ or that ‘their dental occlusion is abnormal’ with this causing them great difficulties. This strong belief about ‘their bite’ being the source of their problems leads to them demanding, and subsequently getting, various types of dentistry carried out by multiple dentists and ‘specialists’.
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