Cutlip Hunter A, Mogallapu Raja, Ang-Rabanes Michael
Psychiatry, West Virginia University School of Medicine, Martinsburg, USA.
Cureus. 2022 May 23;14(5):e25236. doi: 10.7759/cureus.25236. eCollection 2022 May.
This case report details the presentation of a patient who presented to Psychiatry via the Emergency Department following a diphenhydramine overdose in an attempt to seek relief from a perceived skin condition. Review of the patient's files demonstrated similar presentations to a number of other specialties including Family Medicine and Dermatology. Due to the description by the patient of his condition as well as the associated psychiatric symptoms and significant impairment to his life, he was diagnosed with Morgellons disease. This paper seeks to highlight the lack of physical findings by other specialties, elaborate on the treatment plan during his inpatient stay, and review the evidence regarding the psychosomatic presentation of the disease.
本病例报告详细介绍了一名患者的情况,该患者因过量服用苯海拉明试图缓解一种自认为的皮肤疾病,通过急诊科前往精神科就诊。查阅患者病历发现,其情况与包括家庭医学和皮肤科在内的其他多个专科的一些病例相似。由于患者对自身病情的描述以及相关的精神症状和对其生活的严重影响,他被诊断为莫吉隆斯症。本文旨在强调其他专科缺乏体格检查结果,详细阐述其住院期间的治疗方案,并回顾有关该疾病心身表现的证据。