Diagnosis and management of delusional parasitosis.

  title={Diagnosis and management of delusional parasitosis.},
  author={Elliott H. Campbell and Dirk M. Elston and James D Hawthorne and David R. Beckert},
  journal={Journal of the American Academy of Dermatology},
  volume={80 5},

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Delusional infestation: Clinical presentations, diagnosis, and management
Delusional infestation is a primary psychiatric disorder characterized by a somatic‐type delusional disorder (primary delusional infestation) that may lead to self‐induced cutaneous lesions which are
Ekbom Syndrome: A Case Report
A case of a 59‑year‑old woman with delusional parasitosis claiming to be infected with Strongyloides stercoralis is described.
Delusions of Parasitosis: An Update
For many patients with delusional parasitosis, a sense of a lack of understanding leads to isolation and the development of depression symptoms, which is why it is crucial to earn the trust of such patients while taking care of them.
A Case of Delusional Parasitosis With Folie à Deux Treated With Low-Dose Quetiapine
A patient with a three-month history of persistent delusions of infestation presenting to the emergency department with suicidal ideation secondary to complaints of worsening pruritus was admitted, successfully treated with low-dose quetiapine, and eventually deemed fit for discharge.
Delusional infestation: What nurses should know.
Signs and symptoms, available treatments, and appropriate nursing interventions for patients with primary delusional infestation are described.
Aripiprazole as a treatment option for delusional parasitosis: case series of 8 patients
This study shows that aripiprazole can be a successful treatment choice for DP, but further studies are needed for this topic.
A patient with delusional parasitosis secondary to herpes zoster and comorbid depression: a case report
The diagnosis and management of an elderly female patient with refractory DP secondary to herpes zoster and comorbid depression is described, which may be related to autoimmune system dysregulation due to the viral infection and/or the insomnia, mental tension, and anxiety caused by itching.
Delusional infestation in clinical practice over a period of two decades
Clinical features of subjects with delusional infestation who were admitted to the tertiary dermatology ward are analyzed, finding that DI features a wide spectrum of clinical signs and symptoms.
Concurrent Delusions of Ocular Parasitosis and Complex Visual Hallucinations from Charles Bonnet Syndrome Treated Successfully with Aripiprazole in an Elderly Male: A Case Report.
This patient's delusions of ocular parasitosis led to ocular damage and severe visual impairment because of his constant need to extract the parasites from his eyes, and it is speculated that the subsequent complex visual hallucinations that developed can best be understood as Charles Bonnet syndrome.


Patients with delusional infestation (delusional parasitosis) often require prolonged treatment as recurrence of symptoms after cessation of treatment is common: an observational study
Delusional infestation is an uncommon psychiatric disorder in which patients present with the false and fixed belief of infestation and improvement with pharmacological treatment is demonstrated.
Efficacy and safety of quetiapine treatment for delusional parasitosis: experience in an elderly patient.
A case of delusional parasitosis in an elderly man, in which the treatment with low doses of quetiapine induced the complete remission of the syndrome, without any considerable side effects is reported.
[The neuroleptic treatment of delusional parasitosis: first experiences with aripiprazole].
  • E. Kumbier, J. Höppner
  • Psychology, Medicine
    Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete
  • 2008
In the case presented, the positive experiences with the novel neuroleptic aripiprazole are described and atypical neuroleptics have been suggested as potential alternatives to classical neurolePTics.
Delusional infestation: a case series from a university dermatology center in São Paulo, Brazil
Monosymptomatic hypochondriac psychosis (MHP) patients present with a delusional ideation that revolves around one particular hypochondriac concern. Delusional infestation is the most common type of
Successful Ziprasidone Monotherapy in a Case of Delusional Parasitosis: A One-Year Followup
Findings, although preliminary, indicate that further investigation of ziprasidone monotherapy for the treatment of delusional parasitosis is warranted in further trials.
Delusions of parasitosis: a brief review of the literature and pathway for diagnosis and treatment.
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  • 2018
This review article synthesizes the current available research and distils it down to analyzes 17 case reports, comprising 37 cases, examining the use of risperidone and olanzapine in the treatment of delusions of parasitosis, into a clinical pathway designed to assist dermatologists in effectively managing patients with delusions of Parasitosis.
Delusional Infestation
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
Three cases of delusional parasitosis caused by dopamine agonists
We report three cases of delusional parasitosis (DP) in patients with well‐established Parkinson’s disease, all of whom were taking dopamine agonists. In all three cases, the DP resolved rapidly when
[Delusional parasitosis associated with dialysis treated with aripiprazole].
A 75-year-old Chinese lady that presented delusional parasitosis with visual hallucinations four months after starting peritoneal dialysis is reported, which is characterized by the persistent and unshakable belief of being infested with small living organisms.
Delusions of parasitosis: a review.
  • R. Wykoff
  • Medicine, Psychology
    Reviews of infectious diseases
  • 1987
Patients who are erroneously convinced that they harbor dermatologic parasites present a diagnostic and therapeutic challenge to the practitioner; physicians must be familiar with the patterns of presentation usually seen in patients with delusions of parasitosis and confident that other psychiatric and/or medical conditions that could be causing the symptoms have been ruled out.