Torales Julio, García Oscar, Barrios Iván, O'Higgins Marcelo, Castaldelli-Maia João Mauricio, Ventriglio Antonio, Jafferany Mohammad
Department of Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.
Department of Neuroscience, Medical School, Fundação do ABC, Santo André, Brazil.
J Cosmet Dermatol. 2020 Dec;19(12):3183-3188. doi: 10.1111/jocd.13786. Epub 2020 Oct 24.
Delusional infestation is a primary psychiatric disorder characterized by a somatic-type delusional disorder (primary delusional infestation) that may lead to self-induced cutaneous lesions which are often difficult to recognize and treat properly. It may be also secondary to other psychiatric disorders, medical diseases, or substance abuse.
This review will describe prevalence, common clinical features, different clinical presentations, differential diagnoses, and treatment recommendation. Special focus has been put on psychological aspects.
We conducted a literature search on PubMed from January 2001 to June 2020 with the search terms of delusional parasitosis, delusional infestation, psychological, Reference lists of identified articles were examined for further relevant studies. The search was limited to English language articles. No specified quality criteria were used for study inclusion.
The clinical manifestations of delusional infestation are very important in the differential diagnosis and its psychological implications and management perspectives.
This article presents an update regarding the clinical aspects and treatment options of delusional infestation in order to provide an up-to-date review for dermatologists and general practitioners.
妄想性寄生虫感染是一种原发性精神障碍，其特征为躯体类型的妄想障碍（原发性妄想性寄生虫感染），可能导致自我造成的皮肤损伤，而这些损伤往往难以识别和得到恰当治疗。它也可能继发于其他精神障碍、内科疾病或药物滥用。
本综述将描述其患病率、常见临床特征、不同临床表现、鉴别诊断及治疗建议。特别关注心理方面。
我们于2001年1月至2020年6月在PubMed上进行文献检索，检索词为妄想性寄生虫病、妄想性寄生虫感染、心理，对已识别文章的参考文献列表进行检查以查找更多相关研究。检索限于英文文章。纳入研究未使用特定质量标准。
妄想性寄生虫感染的临床表现对于鉴别诊断及其心理影响和管理视角非常重要。
本文提供了关于妄想性寄生虫感染临床方面及治疗选择的最新信息，以便为皮肤科医生和全科医生提供最新综述。
