Delusional parasitosis: a new pathway for diagnosis and treatment

Clinical and Experimental Dermatology
Peter Lepping, Roland W Freudenmann

Abstract

Delusional parasitosis is an uncommon disorder that presents particular challenges to the dermatologist. Patients often resist psychiatric referral. Evidence of efficacy of treatment options is generally weak, but some studies exist. By identifying whether the disorder is primary or secondary to another illness, by attempting to involve the liaison psychiatry team if possible and by treating the patient with a modern antipsychotic, remission is achievable. A pathway for diagnostics and therapy is presented. Treatments of choice are 'atypical' or second-generation antipsychotics such as amisulpride, risperidone or olanzapine in age-appropriate doses. Pimozide is no longer the treatment of choice, owing to a higher risk of adverse drug reactions and lower concordance. In some cases, depot antipsychotics can be considered. For diagnostics and treatment, close collaboration of dermatologists and psychiatrists is recommended.

References

Dec 1, 1979·Clinical and Experimental Dermatology·A Frithz
Nov 1, 1992·The British Journal of Psychiatry : the Journal of Mental Science·M L BourgeoisH Verdoux
Apr 1, 1983·The British Journal of Dermatology·A Lyell
Dec 1, 1993·Journal of the American Academy of Dermatology·M S DriscollM S Hale
Oct 12, 2002·Fortschritte der Neurologie-Psychiatrie·R W Freudenmann
Apr 1, 2006·Journal of Psychopharmacology·Peter Haddad, Serdar Murat Dursun
Jul 28, 2006·Pharmacopsychiatry·T Steinert, H Studemund
Apr 3, 2007·International Psychogeriatrics·Roland W FreudenmannPeter Lepping
Sep 4, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Peter LeppingRoland W Freudenmann

❮ Previous
Next ❯

Citations

Mar 14, 2008·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·W HarthR W Freudenmann
Feb 5, 2013·Applied Neuropsychology. Adult·Mandi Wilkes MussoDrew Gouvier
Oct 14, 2009·Clinical Microbiology Reviews·Roland W Freudenmann, Peter Lepping
Feb 2, 2013·Indian Journal of Dermatology·Piyanjali de Zoysa
Mar 8, 2013·Asian Journal of Psychiatry·M S BhatiaShruti Srivastava
Mar 2, 2012·La Presse médicale·Pierre Alexis GeoffroyGuillaume Vaiva
Oct 21, 2015·Psychosomatics·Carmen Ojeda-LópezMayela Rodríguez-Violante
Dec 2, 2008·Clinical and Experimental Dermatology·R W FreudenmannC Schönfeldt-Lecuona
Apr 21, 2012·International Journal of Dermatology·Mohammad JafferanyZohra Zaidi
Jun 26, 2013·International Journal of Dermatology·Misha M HellerJenny E Murase
Nov 3, 2009·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Wolfgang HarthRoland W Freudenmann
Oct 31, 2009·Clinical and Experimental Dermatology·R Sambhi, P Lepping
Jul 14, 2010·International Journal of Dermatology·Mohammad JafferanyRobin L Hornung
Jan 23, 2015·Case Reports in Infectious Diseases·Ian Gassiep, Paul Matthew Griffin
Aug 18, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Andrea K BoggildW Conrad Liles
Jan 1, 2012·International Journal of Psychiatry in Medicine·Ilknur K AltunaySemra Kayaoglu
Oct 13, 2016·Indian Dermatology Online Journal·Nishita RankaShweta Agarwal
Sep 17, 2008·Journal of Clinical Psychopharmacology·Roland W Freudenmann, Peter Lepping
Sep 15, 2019·Dermatology and Therapy·Adam ReichPrzemyslaw Pacan
Jun 6, 2018·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Tom R Kupfer, Daniel M T Fessler
Oct 15, 2010·Anais Brasileiros De Dermatologia·Cinthia Janine Meira AlvesPriscila Wolf Nassif
Oct 25, 2020·Journal of Cosmetic Dermatology·Julio ToralesMohammad Jafferany

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here

Related Papers

The British Journal of Psychiatry : the Journal of Mental Science
Peter LeppingRoland W Freudenmann
Dermatologic Therapy
Chai Sue Lee
International Psychogeriatrics
Roland W FreudenmannPeter Lepping
© 2021 Meta ULC. All rights reserved