妄想性寄生虫病导致的自我造成的角膜擦伤。
Self inflicted corneal abrasions due to delusional parasitosis.
作者信息
Meraj Adeel, Din Amad U, Larsen Lynn, Liskow Barry I
机构信息
Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas City, Kansas, USA.
出版信息
BMJ Case Rep. 2011 Jul 28;2011:bcr0420114106. doi: 10.1136/bcr.04.2011.4106.
The authors report a case of self inflicted bilateral corneal abrasions and skin damage due to ophthalmic and cutaneous delusional parasitosis. A male in his 50s presented with a 10 year history of believing that parasites were colonizing his skin and biting into his skin and eyes. The patient had received extensive medical evaluations that found no evidence that symptoms were due to a medical cause. He was persistent in his belief and had induced bilateral corneal abrasions and skin damage by using heat lamps and hair dryers in an attempt to disinfect his body. The patient was treated with olanzapine along with treatment for his skin and eyes. His delusional belief system persisted but no further damage to his eyes and skin was noted on initial follow-up.
作者报告了一例因眼部和皮肤妄想性寄生虫病导致的双侧角膜擦伤和皮肤损伤的病例。一名50多岁的男性有10年的病史，坚信寄生虫在他的皮肤和眼睛里寄生并叮咬。该患者接受了广泛的医学评估，未发现症状由医学原因引起的证据。他坚持自己的信念，并使用加热灯和吹风机试图对身体进行消毒，从而导致双侧角膜擦伤和皮肤损伤。患者接受了奥氮平治疗以及皮肤和眼睛的治疗。他的妄想信念系统仍然存在，但在初次随访中未发现对其眼睛和皮肤有进一步损伤。
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