Asunto(s)
Administración Intravenosa , Antidepresivos Tricíclicos/administración & dosificación , Clomipramina/administración & dosificación , Deluciones/tratamiento farmacológico , Deluciones/psicología , Femenino , Humanos , Persona de Mediana Edad , Síndrome , Factores de Tiempo , Resultado del TratamientoAsunto(s)
Femenino , Humanos , Persona de Mediana Edad , Administración Intravenosa , Antidepresivos Tricíclicos/administración & dosificación , Clomipramina/administración & dosificación , Deluciones/tratamiento farmacológico , Deluciones/psicología , Síndrome , Factores de Tiempo , Resultado del TratamientoAsunto(s)
Deluciones/diagnóstico , Infestaciones Ectoparasitarias/psicología , Alucinaciones/diagnóstico , Anciano de 80 o más Años , Antipsicóticos/uso terapéutico , Aripiprazol , Deluciones/tratamiento farmacológico , Deluciones/psicología , Femenino , Alucinaciones/tratamiento farmacológico , Alucinaciones/psicología , Humanos , Piperazinas/uso terapéutico , Quinolonas/uso terapéuticoAsunto(s)
Anciano de 80 o más Años , Femenino , Humanos , Deluciones/diagnóstico , Infestaciones Ectoparasitarias/psicología , Alucinaciones/diagnóstico , Antipsicóticos/uso terapéutico , Deluciones/tratamiento farmacológico , Deluciones/psicología , Alucinaciones/tratamiento farmacológico , Alucinaciones/psicología , Piperazinas/uso terapéutico , Quinolonas/uso terapéuticoRESUMEN
The Ekbom syndrome, also known as delusion of parasitosis or acarophobia is an obsessive phobic state in which the patient thinks, imagines or believes that his or her skin is infested by parasites. In the hallucinatory state, he/she removes parts of the skin, identifying them as parasites. It can be primary or secondary to other organic or psychiatric diseases. Generally speaking these patients take a long time to seek for medical support and the dermatologist is almost always the first physician to see them. Here we describe three patients with delusional parasitosis associated with organic disorders.
Asunto(s)
Deluciones/psicología , Infestaciones Ectoparasitarias/psicología , Adulto , Anciano , Antipsicóticos/uso terapéutico , Deluciones/tratamiento farmacológico , Infestaciones Ectoparasitarias/patología , Femenino , Humanos , Masculino , Pimozida/uso terapéutico , Risperidona/uso terapéutico , Automutilación/patología , Automutilación/psicología , Resultado del TratamientoRESUMEN
A Síndrome de Ekbom, também conhecida como delírio de parasitose ou acarofobia, é um estado fóbico obsessivo no qual o paciente pensa, imagina ou acredita que está infestado por parasitas na pele. Em estado alucinatório, retira fragmentos de pele, identificando-os como parasitas. Pode tratar-se de um quadro psiquiátrico primário ou secundário a outros transtornos orgânicos. Geralmente, esses pacientes demoram a procurar ajuda médica, e o dermatologista, quase sempre, é o primeiro profissional procurado. Descrevemos o caso de três pacientes dos quais apresentaram delírio de parasitose, associados a transtornos orgânicos.
The Ekbom syndrome, also known as delusion of parasitosis or acarophobia is an obsessive phobic state in which the patient thinks, imagines or believes that his or her skin is infested by parasites. In the hallucinatory state, he/she removes parts of the skin, identifying them as parasites. It can be primary or secondary to other organic or psychiatric diseases. Generally speaking these patients take a long time to seek for medical support and the dermatologist is almost always the first physician to see them. Here we describe three patients with delusional parasitosis associated with organic disorders.
Asunto(s)
Adulto , Anciano , Femenino , Humanos , Masculino , Deluciones/psicología , Infestaciones Ectoparasitarias/psicología , Antipsicóticos/uso terapéutico , Deluciones/tratamiento farmacológico , Infestaciones Ectoparasitarias/patología , Pimozida/uso terapéutico , Risperidona/uso terapéutico , Automutilación/patología , Automutilación/psicología , Resultado del TratamientoRESUMEN
The delusional misidentification syndrome has lately been the object of lengthy psychopathological discussions. Controversies persist as to how best to define it, distinguish its subtypes and set their limits. Attempts to provide this syndrome with a better conceptual framework have usually relied on proposing new definitions and classifications. In this article, we suggest that some prevailing difficulties are basically related to two separate but intertwined issues: the self-reflexive property of the human mental functioning and the first-person linguistic expression of human experience. We argue that this discussion belongs to a broader context than the one it is usually referred to, as it deals with problems germane to conceptual psychopathological investigations in general. In that regard, DMS provides us with a very telling example, to the extent to which it has, at its core, to account for the puzzling phenomena of identity, which are particularly affected by cultural and linguistic variables.
Asunto(s)
Síndrome de Capgras/diagnóstico , Deluciones/diagnóstico , Escalas de Valoración Psiquiátrica , Adulto , Antipsicóticos/uso terapéutico , Síndrome de Capgras/tratamiento farmacológico , Deluciones/tratamiento farmacológico , Diagnóstico Diferencial , Humanos , Masculino , Risperidona/uso terapéutico , Resultado del TratamientoRESUMEN
Delusional parasitosis is a rare psychiatric syndrome in which the patient believes that he/she is infested with parasites despite clear evidence to the contrary. It was first described in the literature about 100 years ago when it was referred to as psychogenic parasitosis. It can occur in the form of a delusional disorder of the somatic type (DSM IV) but it has also been reported in schizophrenia, affective or organic psychosis or induced psychosis. Patients with delusional parasitosis generally think that mites, lice or other insects have invaded their skin and most frequently seek treatment from dermatologists or family practitioners. It is a chronic disorder that may occur at any age but is more common in the elderly, particularly in females. The patient may try to pick the parasites out of the skin causing cutaneous lesions. Treatment is based on antipsychotic agents, psychotherapy and cooperation between dermatologist and psychiatrist. A case of delusional disorder of the somatic type (DSM IV) in a 55-year-old male is described. The patient sought medical attention because he strongly believed that his skin was infested with mites for three years. He tried to pick mites out of the skin of his face, neck, abdomen and back and this caused severe keloid formation. He was first seen by a dermatologist whose clinical and laboratory investigations for parasitic infestations were negative. After investigation, the patient was referred to the psychiatrist. Haloperidol was prescribed and there was good response to antipsychotic treatment. The delusional symptoms improved over the first three months and then a full recovery was observed. The patient maintained the recovery at one-year follow-up. (AU)
Asunto(s)
Informes de Casos , Humanos , Masculino , Persona de Mediana Edad , Femenino , Esquizofrenia Paranoide/parasitología , Deluciones/tratamiento farmacológico , Deluciones/parasitología , Trinidad y Tobago , Ácaros/parasitología , Trastornos Psicóticos/parasitologíaRESUMEN
We longitudinally evaluated the neuropsychological functions, rate of progression, and waking EEG findings in 17 patients with probable Alzheimer's disease (AD) with delusions and hallucinations, and compared them with those of matched AD patients without delusions and hallucinations. AD patients with delusions and hallucinations had a more rapid rate of decline, as measured by the Mini-Mental State Examination, a specific defect in receptive language, and a greater frequency of aggression and hostility. Visual EEG analysis showed that these patients had a significantly greater proportion of moderately abnormal EEGs, and spectral analysis confirmed the increased amount of delta and theta activity. These data demonstrate that AD patients with delusions and hallucinations have a greater degree of cerebral dysfunction and a relatively focal neuropsychological defect, which may indicate a localized pathologic abnormality.