英文摘要 |
Delusional parasitosis (DP) is a psychiatric syndrome that patients presents themselves with false belief that the body is infested with parasites despite of the absence of medical evidence. DP is typically presented with tactile and visual hallucinations which inorganic materials such as lint and skin debris are perceived as causative origins. The patient often seek dermatological care and refuse a psychiatrist referral.No consensus exists for the most appropriate treatment. First generation antipsychotic drug (FGA) pimozide was once considered the first line treatment, which later being substituted by second generation antipsychotics (SGAs). Recent studies of selective serotonin reuptake inhibitors (SSRIs) have also shown successful results. Here, we report a case of a female DP patient who was treated successfully with a combination of quetiapine and escitalopram. |