Ekbom syndrome – case study Case report

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Przemysław Grudzka
Maurycy Araszkiewicz
Ewa Sobolewska

Abstract

A case of a 68-year-old woman suffering from delusional parasitosis is described. The patient was admitted to the psychiatry department because of belief of parasitic infection. The patient revealed the delusional parasitosis and received antipsychotic treatment resulting in remission. Delusional parasitosis (Ekbom syndrome) is a condition where a person has the unwavering mistaken belief of being infested with parasites. Patients give detailed descriptions of the activity and offending parasites: crawling, biting, burrowing. According to the contemporary ICD-10 diagnostic criteria, the delusional parasitosis is a disorder which belongs to organic hallucinosis that are usually attached to lonely, old women. In such cases, a therapeutic process using antipsychotic treatment is necessary.

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References

1. Ekbom KA. The pre-senile delusion of infestation. Hist Psychiatr 2003; 14: 229-256.
2. Jarosz M. Urojenia pasożytniczej choroby skóry. Łódzkie Towarzystwo Naukowe, Łódź 1959.
3. Antczak-Domagała K, Baluta K, Magierski R. Parazytoza urojeniowa u osób w podeszłym wieku. Psychiatria po Dyplomie 2015; 4: 20-25.
4. Le Roux A, Benattar B, van Amerongen P et al. A propos du syndrome d’Ekbom. Ann Med Psychol 2004; 162: 755-761.
5. Driscoll MS, Roethe MJ, Grant-Kels JM, Hale MA. Delusional parasitosis: a dermatological perspective. Int Clin Psychopharmacol 1986; 1: 340-353.
6. Pużyński S. Leksykon psychiatrii. PZWL, Warszawa 1993: 169.
7. Jarosz M. Podstawowe zespoły psychopatologiczne. W: Jarosz M, Cwynar S. (ed). Podstawy psychiatrii. Państwowy Zakład Wydawnictw Lekarskich, Warszawa 1976: 73-85.
8. Szepietowski J, Pacan P, Reich A. Psychodermatologia. Akademia Medyczna we Wrocławiu, Wrocław 2012.
9. Taylor RE, Bewley A, Melidonis N. Psychodermatology. Psychiatry 2006; 5: 81-84.
10. WHO: Klasyfikacja zaburzeń psychicznych i zaburzeń zachowania w ICD-10. Vesalius, Kraków–Warszawa 2000.
11. Woodruff PW, Higgins EM, Du Vivier AW, Wessely S. Psychiatric illness in patients referred to a dermatology-psychiatry clinic. Gen Hosp Psychiatry 1997; 19: 29-35.