The Curse of Delusional Parasitosis

​Delusional parasitosis is a rare condition, but it is more common where methamphetamine and cocaine abuse is high. It is a fascinating condition to witness; patients are convinced that their skin is infested with foreign organisms or materials despite incontrovertible evidence to the contrary.This condition is known by numerous names—Ekbom syndrome, delusory parasitosis, psychogenic parasitosis, delusional parasitosis, delusional ectoparasitosis, formication, chronic tactile hallucinosis, dermatophobia, parasitophobia, and cocaine bugs—but delusional parasitosis and more recently delusional infestation are considered the correct nomenclature. Another term commonly used in association with this condition is Morgellons disease. Morgellons refers to cutaneous symptoms like biting, crawling, or stinging sensation, finding fibers on or under the skin, and persistent skin lesions. Formication, a medical term derived from the Latin word for ant, is the sensation that resembles small insects crawling on or under the skin.Patients have reported infestations ranging from "bugs," parasites, worms, and mites to bacteria, fungus, living "threads," and other living organisms for the pruritus they experienced. It is not uncommon for these patients to present clothing lint, pieces of skin, or other debris contained in plastic wrap, on adhesive tape, or in matchboxes. Some authors call this the matchbox sign or the Saran wrap sign. The patients will confidently stat...
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs