Squire S B, Taegtmeyer M, Javed Q, O'Dempsey T, Kullu C, Lepping P
Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.
Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool L7 8YE, UK.
Trans R Soc Trop Med Hyg. 2024 Dec 3;118(12):808-813. doi: 10.1093/trstmh/trae054.
Delusional infestation (DI) is a well-recognized delusional disorder presenting as the persisting belief of being infested. Combined clinics have been run by dermatology and psychiatry in a small number of centres. In this article we focus on our Liverpool University Hospitals NHS Foundation Trust clinic hosted at the Liverpool School of Tropical Medicine, UK, where we run a specialist clinic for DI.
We describe the specific set-up and approach of our clinic as a guide for clinicians working in specialties likely to see patients with DI (including tropical medicine, infectious diseases and dermatology) who may either want to set up similar clinics or be better equipped to manage DI patients promptly within existing practice.
We describe the details of the clinic's approach. Between 2018 and 2023, the service saw 208 patients, of which 82.7% could be assessed and 55.7% had DI. The female:male ratio was 2:1.
Interdisciplinary combined clinics with medical and psychiatry consultants working together offer an approach to managing this rare, challenging and high-consequence condition.
妄想性寄生虫感染（DI）是一种公认的妄想障碍，表现为持续坚信自己受到寄生虫感染。少数中心的皮肤科和精神科联合开设了诊所。在本文中，我们重点介绍了英国利物浦热带医学院举办的利物浦大学医院国民保健服务基金会信托诊所，我们在那里开设了DI专科诊所。
我们描述了我们诊所的具体设置和方法，为可能会接诊DI患者的专科临床医生（包括热带医学、传染病和皮肤科医生）提供指导，他们可能希望开设类似的诊所，或者在现有业务中更好地迅速管理DI患者。
我们描述了诊所方法的细节。2018年至2023年期间，该服务共接待了208名患者，其中82.7%的患者能够接受评估，55.7%的患者患有DI。男女比例为2:1。
医学和精神科顾问共同工作的跨学科联合诊所提供了一种管理这种罕见、具有挑战性且后果严重的疾病的方法。
