| Patients labeled with delusions of parasitosis compose a heterogenous group: A retrospective study from a referral center. | |
| | |
MedLine Citation:
|
PMID: 23058734 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: There are few diagnostic tools available to the dermatologist to help in the diagnosis of patients with delusions of parasitosis (DOP). OBJECTIVE: We sought to find differences in presentation and clinical course between patients who received a final diagnosis of DOP and those who received a final diagnosis of a primary medical condition or other psychiatric disorder. METHODS: We performed a retrospective chart review of patients referred with a diagnosis of DOP. Each patient received a final consensus diagnosis. RESULTS: In all, 47 patients were included in the study. Patients reporting bugs were more likely to be given a final diagnosis of delusional disorder or found to have a medical diagnosis, whereas patients noting fibers were more likely to have a somatoform disorder. A review of systems can be helpful in making a final diagnosis. Patients referred to the clinic for DOP were 300 times more likely to require a physician to contact the hospital's legal counsel compared with other patients in the practice. LIMITATIONS: The retrospective nature of the study resulted in limited laboratory testing and psychiatric evaluation in some patients. Many of the patients may have been inappropriately referred to the DOP clinic because of other psychiatric comorbidities. CONCLUSION: Patients referred to this practice as "delusional" had a heterogeneous final diagnosis. The chief symptom of the patient was predictive of the patient's final diagnosis. The use of written questionnaires may be helpful. These patients have a greatly increased risk of requiring the physician to seek legal counsel. |
| | |
Authors:
|
Jason S Reichenberg; Michelle Magid; Christine A Jesser; Clifton S Hall |
Related Documents
:
|
22146904 - Comparison of the new asco classification with the toast classification in a population... 23350554 - Prevalence and causes of patient dropout after glaucoma surgery. 23147424 - Project primo: sharing principles and practices of bronchodilator therapy monitoring in... 23670894 - Guideline adherence of antithrombotic treatment initiated by general practitioners in p... 8238824 - The peri-operative management of surgical insertion and removal of the intravenous oxyg... 21289504 - Incidence and outcome of healthcare-associated acinetobacter baumannii in chronically v... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-10-8 |
Journal Detail:
|
Title: Journal of the American Academy of Dermatology Volume: - ISSN: 1097-6787 ISO Abbreviation: J. Am. Acad. Dermatol. Publication Date: 2012 Oct |
Date Detail:
|
Created Date: 2012-10-12 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7907132 Medline TA: J Am Acad Dermatol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Department of Dermatology, University of Texas Southwestern-Austin Program, Austin, Texas. Electronic address: jreichenberg@seton.org. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcomes of angiosome and non-angiosome targeted revascularization in critical lower limb ischemia.
Next Document: Elder abuse: Dermatologic clues and critical solutions.