Contreras-Ferrer P, de Paz N Merino, Cejas-Mendez M R, Rodríguez-Martín M, Souto R, Bustínduy M García
Department of Dermatology, Hospital Universitario de Canarias, La Laguna, Spain.
Case Rep Dermatol. 2012 May;4(2):150-3. doi: 10.1159/000341112. Epub 2012 Jul 11.
Delusional parasitosis is characterized by a patient's fixed false belief of being infested with parasites or small creatures. The first-line treatment options are typical antipsychotics such as pimozide. However, the accompanying extrapyramidal side effects might limit their use. We report on a patient with a good response to pimozide combined with ziprasidone. Ziprasidone is an atypical antipsychotic drug with a lower risk of extrapyramidal symptoms; thus, it might be considered a good first or second treatment option for delusional parasitosis.
妄想性寄生虫病的特征是患者坚信自己感染了寄生虫或小生物，但这种信念是错误的。一线治疗选择是使用典型的抗精神病药物，如匹莫齐特。然而，随之而来的锥体外系副作用可能会限制其使用。我们报告了一名对匹莫齐特联合齐拉西酮治疗反应良好的患者。齐拉西酮是一种非典型抗精神病药物，锥体外系症状风险较低；因此，它可能被认为是妄想性寄生虫病的一种良好的一线或二线治疗选择。
