1/2. Atypical antipsychotics in the treatment of delusional parasitosis.delusional parasitosis is the false belief that one's body is infested with one or many different living organisms. Historically, it has been treated with conventional antipsychotics with only moderate success. The conventional antipsychotic most commonly used has been pimozide. We report a series of five cases of patients with delusional parasitosis. Our patients' demographic characteristics were similar to those in previously published case reports, but instead of being treated with older antipsychotics, they were all treated with atypical antipsychotic agents with favorable results. We will discuss the rationale for this treatment choice, and will review the role of serotonin/dopamine antagonists in the treatment of delusional parasitosis. We will also comment on the possible role of serotonergic antidepressants in the treatment of these patients.- - - - - - - - - - ranking = 1keywords = delusional parasitosis, parasitosis (Clic here for more details about this article) |
2/2. Monosymptomatic delusions of parasitosis associated with ischemic cerebrovascular disease.Monosymptomatic delusion of infestation (parasitosis) occur in idiopathic psychoses but have rarely been observed in patients with neurologic or systemic illnesses. A patient was observed in whom the delusion occurred in the presence of demonstrable cerebrovascular disease. The delusional symptoms were contralateral to the principal site of ischemic injury. delusions of infestation may reflect an acquired neurologic or metabolic disorder, and medical and neurologic evaluation should be pursued in elderly patients presenting with this syndrome.- - - - - - - - - - ranking = 0.17342351385801keywords = parasitosis (Clic here for more details about this article) |