Document Detail

Delusions of parasitosis. A psychiatric disorder to be treated by dermatologists? An analysis of 33 patients.
MedLine Citation:
PMID:  9747367     Owner:  NLM     Status:  MEDLINE    
Delusions of parasitosis is a rare disorder in which patients have the false and fixed belief that they are infested by parasites. It is a psychiatric disorder, but patients usually present to a dermatologist and referral to a psychiatrist is almost always rejected. Treating a patient with delusions of parasitosis requires patience and tact. The neuroleptic pimozide is the treatment of choice, but a significant problem is convincing the patient to take the drug. We report a study of 33 patients (13 men and 20 women) with delusions of parasitosis. The mean age at onset was 56.9 years and the mean duration of symptoms before attending the department of dermatology was 1.3 years. Pimozide (Orap) was prescribed for 24 patients, but only 18 patients took it. Follow-up information was available for 18 patients: five had full remission, four were less symptomatic, five were unchanged and four had died of unrelated causes.
S F Zomer; R F De Wit; J E Van Bronswijk; G Nabarro; W A Van Vloten
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of dermatology     Volume:  138     ISSN:  0007-0963     ISO Abbreviation:  Br. J. Dermatol.     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-10-08     Completed Date:  1998-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0004041     Medline TA:  Br J Dermatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1030-2     Citation Subset:  IM    
Department of Dermatology, University Hospital Utrecht, The Netherlands.
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MeSH Terms
Aged, 80 and over
Antipsychotic Agents / therapeutic use
Delusions / drug therapy*
Middle Aged
Parasitic Diseases / psychology*
Patient Acceptance of Health Care
Pimozide / therapeutic use
Reg. No./Substance:
0/Antipsychotic Agents; 2062-78-4/Pimozide

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