Öz
Delusional parasitosis also known as psychogenic parasitosis is a rare chronic psychiatric disorder characterized with delusion of parasitic infection without any medical evidence. Etiology is unknown but it is suggested that decrease in striatal dopamine transporter function may plays role in etiology. Our cases were 39 years old father and 12 years old boy presented with complaints of common pruritus and circulating of parasites on their skin. Diagnosis was delusional parasitosis. Any other diseases and parasites were not detected by physical examination and laboratory investigations. Although it is a psychiatric disorder it is important because patients usually visit dermatologist for the situation. We report these cases to emphasize the importance of that delusional parasitosis may presents in many patients of same family and these cases should be consulted to psychiatry clinics.
Anahtar Kelimeler
Delusional parasitosis ekbom syndrome shared psychotic disorder
Kaynakça
- Thibierge G. Les acorophobies. Rev Gen Clin Ther 1894; 8: 373-6.
- Ekbom KA. Der precenile dermatozoenwahn. Acta Psychiatr Neu-rol 1938; 13: 227Wilson JW, Miller HE. Delusion of parasitosis. Arch Dermatol Syphilol 1946; 54: 39-56.
- Huber M, Kirchler E, Karner M, Pycha R. Delusional parasitosis and the dopamine transporter. A new insight of etiology? Med Hypotheses 2007; 68: 1351Mercan S, Öğütcen Ö, Altunay İK, Karamustafalıoğlu O. Folie a famille ve delüzyonal parazitoz: Olgu sunumu ve literatürün gözden geçirilmesi. Klinik Psikofarmakoloji Bülteni 2005; 15: 71-8.
- American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders-4th edition text revision: DSM-IV-TR. Washington, DC, APA, 2000.
- Lepping P, Russel I, Freudenmann W. Antipsychotic treatment of primary delusional parasitosis: Systematic review. Br J Psychiatry 2007; 191: 198-205. Özkan AT, Mumcuoğlu KY. Entomofobi ve delüzyonel parazitoz. Türkiye Parazitoloji Dergisi 2008; 32: 366-70.
- Mercan S. Primary Psychiatric Diseases. TURKDERM 2010; 44: 16-24.
- Bhatia MS, Jagawat T, Choudhary S: Delusional parasitosis: A clini-cal profile. Int J Psychiat Med 2000; 30: 83-91.
- Arnold LM. Psychocutaneous Disorders. Kaplan& Sadock’s Com-prehensive Textbook of Psychiatry. 7th ed. Ed. Sadock BJ, Sadock VA. USA, Lippincott Williams& Wilkins 2000; 1823-4.
- Michael M. Delusional infestation. Br J Psychiatry 1991; 159: 83-7.
- Paul YT, Lois K. Case report: Delusions of parasitosis as an unusual presenting feature of dementia. Ann Long-Term Care 1999; 7: 153-5.
- Koo JYM, Gambla G. Psychodermatology: Delusions of parasitosis and other forms of monosymptomatic hypocondriacal psychosis. General discussion and case illustrations. Dermatol Clin 1996; 14: 429-38.
- Trabert W. Shared psychotic disorder in delusional parasitosis. Psychopathology 1999; 32: 30-4.
- Daniel E, Srinivasan TN. Folie a Famille: Delusional parasitosis af-fecting all the members of a family. Indian J Dermatol Venereol Leprol 2004; 70: 296-7.
- Karakuş G. Delüzyonel parazitoz: Klinik özellikleri, tanı ve tedavi. Psikiyatride güncel yaklaşımlar 2010; 2: 384-400.
- Çayköylü A, Ekinci O, Albayrak Y, Kuloğlu M. Hezeyani parazitoz: Düflük doz risperidon ile tedavi edilen bir vak’a. New/Yeni Symposium Journal 2011; 2: 95
Öz
Özet
Psikojenik parazitoz olarak da bilinen delüzyonel parazitoz, tıbbi bir kanıt olmaksızın hastaların parazitlerle enfeste olduğu sanrısı ile karakterize, nadir görülen kronik psikiyatrik bir hastalıktır. Etiyoloji tam olarak bilinmemekle beraber striatal dopamin taşıyıcı fonksiyonun azalmasının patogenezde rol oynadığı hipotezi ileri sürülmüştür. Olgularımız, tüm vücutta yaygın kaşıntı ve cildinde parazitlerin dolaşması şikayeti ile başvuran 39 yaşındaki baba ve 12 yaşındaki oğluydu. Hastalara delüzyonel parazitoz tanısı konuldu. Yapılan tetkiklere rağmen hastaların her ikisinde de organik patoloji ve parazit saptanamadı. Delüzyonel parazitoz psikiyatrik bir tablo olmasına rağmen hastaların genelde dermatoloğa başvurması açısından önem arz etmektedir. Delüzyonel parazitoz vakalarının aile içerisinde birden fazla kişide görülebileceğini ve bu vakaların psikiyatri kliniklerine yönlendirilmesinin önemini vurgulamak amacıyla olgularımızı sunuyoruz.
Anahtar sözcükler: Delüzyonel parazitoz, ekbom sendromu, paylaşılmış psikotik bozukluk
Abstract
Delusional parasitosis also known as psychogenic parasitosis is a rare chronic psychiatric disorder characterized with delusion of parasitic infection without any medical evidence. Etiology is unknown but it is suggested that decrease in striatal dopamine transporter function may plays role in etiology. Our cases were 39 years old father and 12 years old boy presented with complaints of common pruritus and circulating of parasites on their skin. Diagnosis was delusional parasitosis. Any other diseases and parasites were not detected by physical examination and laboratory investigations. Although it is a psychiatric disorder it is important because patients usually visit dermatologist for the situation. We report these cases to emphasize the importance of that delusional parasitosis may presents in many patients of same family and these cases should be consulted to psychiatry clinics.
Keywords: Delusional parasitosis, ekbom syndrome, shared psychotic disorder
Anahtar Kelimeler
Delüzyonel parazitoz ekbom sendromu paylaşılmış psikotik bozukluk
Kaynakça
- Thibierge G. Les acorophobies. Rev Gen Clin Ther 1894; 8: 373-6.
- Ekbom KA. Der precenile dermatozoenwahn. Acta Psychiatr Neu-rol 1938; 13: 227Wilson JW, Miller HE. Delusion of parasitosis. Arch Dermatol Syphilol 1946; 54: 39-56.
- Huber M, Kirchler E, Karner M, Pycha R. Delusional parasitosis and the dopamine transporter. A new insight of etiology? Med Hypotheses 2007; 68: 1351Mercan S, Öğütcen Ö, Altunay İK, Karamustafalıoğlu O. Folie a famille ve delüzyonal parazitoz: Olgu sunumu ve literatürün gözden geçirilmesi. Klinik Psikofarmakoloji Bülteni 2005; 15: 71-8.
- American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders-4th edition text revision: DSM-IV-TR. Washington, DC, APA, 2000.
- Lepping P, Russel I, Freudenmann W. Antipsychotic treatment of primary delusional parasitosis: Systematic review. Br J Psychiatry 2007; 191: 198-205. Özkan AT, Mumcuoğlu KY. Entomofobi ve delüzyonel parazitoz. Türkiye Parazitoloji Dergisi 2008; 32: 366-70.
- Mercan S. Primary Psychiatric Diseases. TURKDERM 2010; 44: 16-24.
- Bhatia MS, Jagawat T, Choudhary S: Delusional parasitosis: A clini-cal profile. Int J Psychiat Med 2000; 30: 83-91.
- Arnold LM. Psychocutaneous Disorders. Kaplan& Sadock’s Com-prehensive Textbook of Psychiatry. 7th ed. Ed. Sadock BJ, Sadock VA. USA, Lippincott Williams& Wilkins 2000; 1823-4.
- Michael M. Delusional infestation. Br J Psychiatry 1991; 159: 83-7.
- Paul YT, Lois K. Case report: Delusions of parasitosis as an unusual presenting feature of dementia. Ann Long-Term Care 1999; 7: 153-5.
- Koo JYM, Gambla G. Psychodermatology: Delusions of parasitosis and other forms of monosymptomatic hypocondriacal psychosis. General discussion and case illustrations. Dermatol Clin 1996; 14: 429-38.
- Trabert W. Shared psychotic disorder in delusional parasitosis. Psychopathology 1999; 32: 30-4.
- Daniel E, Srinivasan TN. Folie a Famille: Delusional parasitosis af-fecting all the members of a family. Indian J Dermatol Venereol Leprol 2004; 70: 296-7.
- Karakuş G. Delüzyonel parazitoz: Klinik özellikleri, tanı ve tedavi. Psikiyatride güncel yaklaşımlar 2010; 2: 384-400.
- Çayköylü A, Ekinci O, Albayrak Y, Kuloğlu M. Hezeyani parazitoz: Düflük doz risperidon ile tedavi edilen bir vak’a. New/Yeni Symposium Journal 2011; 2: 95
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Haziran 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 2 |