Jakuszkowiak-Wojten Katarzyna, Cubała Wiesław Jerzy, Szeliga-Lewińska Joanna
Klinika Chorób Psychicznych i Zaburzeń Nerwicowych AM w Gdańsku.
Psychiatr Pol. 2007 Jul-Aug;41(4):571-8.
A case of a 75-year-old woman suffering from delusional parasitosis is described. The patient was referred to the consultant psychiatrist by a dermatologist with the diagnosis of psychosis. In course of the psychiatric treatment the patient revealed the delusional parasitosis and received antipsychotic treatment resulting in full remission. Delusional parasitosis (Ekbom syndrome) is a condition where a person has the unshakeable mistaken belief of being infested with parasites. Patients give detailed descriptions of the activity and offending parasites: crawling, biting, burrowing. According to the contemporary ICD-10 diagnostic criteria, the delusional parasitosis is a disorder which belongs to organic hallucinosis that are usually attached to lonely, old women. In such cases, a therapeutic process using antipsychotic treatment is necessary. A liaison between dermatologist and psychiatrist is advocated.
本文描述了一例75岁患有妄想性寄生虫病的女性病例。该患者由皮肤科医生转诊至精神科顾问医生处，诊断为精神病。在精神科治疗过程中，患者被诊断出患有妄想性寄生虫病，并接受了抗精神病治疗，最终完全缓解。妄想性寄生虫病（埃克博姆综合征）是一种患者坚信自己感染了寄生虫的病症。患者会详细描述寄生虫的活动及侵害情况：如爬行、叮咬、钻洞等。根据当代国际疾病分类第十版（ICD - 10）的诊断标准，妄想性寄生虫病属于器质性幻觉症，这类病症通常多见于孤独的老年女性。在这种情况下，采用抗精神病治疗的方法是必要的。提倡皮肤科医生和精神科医生之间建立联系。
