Document Detail


Delusions of parasitosis.
MedLine Citation:
PMID:  18318879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Delusions of parasitosis is a rare psychiatric disorder in which the patient has a fixed, false belief that he or she is infested by parasites. Even though it is a psychiatric disorder, these patients usually present to a dermatologist because they are convinced that they have a dermatologic problem. Patients with delusions of parasitosis generally reject psychiatric referral. The traditional treatment of choice for delusions of parasitosis is the antipsychotic medication pimozide (Orap, Gate Pharmaceuticals, Philadelphia, PA). The use of pimozide has been limited by its adverse effects, most notably extrapyramidal adverse effects. There is now an emerging role for atypical antipsychotics with a safer adverse effect profile in the treatment of delusions of parasitosis. However, the most challenging aspect of managing these patients may be the challenge of establishing rapport in the face of unshakable delusional ideation.
Authors:
Chai Sue Lee
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Dermatologic therapy     Volume:  21     ISSN:  1529-8019     ISO Abbreviation:  Dermatol Ther     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-03-05     Completed Date:  2008-05-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9700070     Medline TA:  Dermatol Ther     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  2-7     Citation Subset:  IM    
Affiliation:
Department of Dermatology, University of California Davis School of Medicine, and Sacramento VA Medical Center, Sacramento, California 95816, USA. chaisue@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / adverse effects,  therapeutic use*
Delusions / diagnosis,  drug therapy*
Diagnosis, Differential
Female
Humans
Male
Pimozide / adverse effects,  therapeutic use
Skin Diseases, Parasitic / psychology*
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 2062-78-4/Pimozide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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