Moretti M, Varga G
II. Pszichiátriai Osztály, Heves Megyei Onkormányzat Markhot Ferenc Kórház, Eger.
Orv Hetil. 2000 Jan 23;141(4):169-72.
The explanations of the psychosomatic dermatological symptoms are based on the dysfunction of the emotional and autonomic nervous system. In the first instance the dermatological symptoms of psychic origin are examined by the general practitioner, than the dermatologist and finally after negative findings--the psychiatrist. Behind the non-improving, itching and scratched eczema sometimes was found either Ekbom-syndrome (often diagnosed as gerontological delusions of parasitosis) or therapy-resistant allergy (which conceals depression). The authors present condensed case--stories (about delusions of parasitosis and allergic syndromes) proving the excellent results achieved using citalopram and in the case of Ekbom-syndrome--risperidone therapy.
心身性皮肤病症状的解释基于情绪和自主神经系统的功能障碍。首先，由全科医生检查精神源性的皮肤病症状，然后是皮肤科医生，最后在检查结果为阴性时由精神科医生进行检查。在久治不愈、瘙痒且有抓痕的湿疹背后，有时会发现埃克博姆综合征（常被诊断为老年寄生虫妄想症）或难治性过敏（其掩盖了抑郁症）。作者介绍了一些浓缩的病例故事（关于寄生虫妄想症和过敏综合征），证明使用西酞普兰以及在埃克博姆综合征病例中使用利培酮治疗取得了良好效果。
