Schairer David, Schairer Laura, Friedman Adam
Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA.
J Drugs Dermatol. 2012 Apr;11(4):543-5.
Most dermatologists will treat at least one patient suffering from delusions of parasitosis (DP) in their career.1 These patients are memorable not only for the peculiarity of their delusions and their repeated visits to the office, but for the challenges they present in their treatment. These patients are also frustrating. It seems that if they could only stop scratching, picking and manipulating their skin their symptoms would improve. However, these cutaneous signs only hint at the underlying psychiatric problem that drives these patients to manipulate their skin. These patients seek out the assistance of dermatologists and eschew the help of psychiatrists or therapists because they believe that they have a primary skin disease. Although the treatment of DP is conceptually simple, it is not intuitive. Thus as dermatologists, we should have at the ready a full set of dermatologic, psychologic, and pharmacologic tools to treat these patients.
大多数皮肤科医生在其职业生涯中至少会治疗一名患有寄生虫妄想症（DP）的患者。这些患者令人难忘，不仅因为其妄想的奇特之处以及他们频繁到诊所就诊，还因为治疗他们所面临的挑战。这些患者也令人沮丧。似乎只要他们能停止搔抓、抠挖和摆弄自己的皮肤，症状就会改善。然而，这些皮肤症状只是暗示了驱使这些患者摆弄皮肤的潜在精神问题。这些患者寻求皮肤科医生的帮助，而避开精神科医生或治疗师的帮助，因为他们认为自己患的是原发性皮肤病。尽管DP的治疗在概念上很简单，但并不直观。因此，作为皮肤科医生，我们应该随时准备好一整套皮肤科、心理和药理学工具来治疗这些患者。
