Journal of the American Academy of Dermatology 2019-05
Diagnosis and management of delusional parasitosis.
ABSTRACT
Delusional parasitosis is a monosymptomatic hypochondriacal state that causes great suffering for the patient and great suffering for those around them. Dermatologists are experts in the diagnosis of cutaneous disease and frequently encounter such patients. This review provides an overview of the diagnosis and management of delusional parasitosis and the differential diagnosis.
As a child psychiatrist, I saw a few patients with this presentation. Most had family histories of various anxiety disorders, but the child's level of distress and effect on d...