Department of Dermatology and Allergology, Vivantes Klinikum Berlin Spandau, Germany.
J Dtsch Dermatol Ges. 2010 Apr;8(4):234-42. doi: 10.1111/j.1610-0387.2009.07219.x. Epub 2009 Oct 29.
Delusional parasitosis (DP) is the most frequent delusional disorder in dermatology. In DP there is a fixed belief of a usually skin-related invasion or infestation by a number of alleged infectious species (usually parasites and bacteria), whose identity has varied over the decades. Since 2002 worldwide an increasing number of patients have complained of unverifiable fibers and filaments in or on the skin, associated with numerous nonspecific complaints (arthralgias, altered cognitive function and extreme fatigue). This entity has been named "Morgellons disease" by the patients themselves, although medical evidence for its existence is lacking. As an example, we discuss a 55-year-old woman who complained of Morgellons disease and was treated as if she had DP. Currently the delusional assumption of infestation with Morgellons should be considered as a new type of DP with some kind of inanimate material. We therefore recommend in case of DP including Morgellons the use of the broader term "delusional infestation".
妄想性寄生虫病（DP）是皮肤科最常见的妄想性障碍。在 DP 中，患者存在一种固定的信念，即通常与皮肤相关的入侵或感染了多种所谓的传染性物种（通常是寄生虫和细菌），其身份在几十年间发生了变化。自 2002 年以来，全世界越来越多的患者抱怨皮肤内或皮肤上有无可查证的纤维和细丝，并伴有许多非特异性投诉（关节痛、认知功能改变和极度疲劳）。尽管缺乏医学证据证明其存在，但患者自己将其命名为“莫吉隆斯症”。例如，我们讨论了一位 55 岁的女性，她抱怨患有莫吉隆斯症，并被视为患有 DP。目前，对莫吉隆斯感染的妄想性假设应被视为一种新型 DP，其具有某种无生命物质。因此，我们建议在 DP 包括莫吉隆斯的情况下，使用更广泛的术语“妄想性感染”。
