Even C, Goeb J L, Dardennes R
CMME (Clinique des maladies mentales et de l'encéphale), Centre hospitalier Sainte-Anne, Paris.
Encephale. 1997 Sep-Oct;23(5):397-9.
A delusion of parasitosis may be seen in patients with a variety of organic and psychiatric disorders. It may also be a primary delusion often referred to as the "Ekbom syndrome". The nosological categorization of this rare condition is still under debate. We report the case of a 81 year-old woman followed in our department during more than 20 years for a bipolar affective disorder. Five years ago she developed a persistent delusion of parasitosis displaying phenomenological characteristics that are typical of the Ekbom syndrome. Given the complete independence of the respective courses of affective and delusional symptoms, we concluded in favour of a genuine comorbid association between two independent disorders. To our knowledge this association has not heretofore been described in the French or English language literature. It raises questions regarding the connections between affective disorders and delusions of parasitoris.
寄生虫妄想可见于患有各种器质性和精神性疾病的患者。它也可能是一种原发性妄想，常被称为“埃克波姆综合征”。这种罕见病症的疾病分类仍存在争议。我们报告了一例81岁女性患者，在我们科室因双相情感障碍接受治疗超过20年。五年前，她出现了持续的寄生虫妄想，表现出埃克波姆综合征的典型现象学特征。鉴于情感症状和妄想症状各自病程完全独立，我们得出结论，支持两种独立疾病之间存在真正的共病关联。据我们所知，这种关联此前在法语或英语文献中均未被描述过。它引发了关于情感障碍与寄生虫妄想之间联系的问题。
