Delusional parasitosis as 'folie a deux'. 2003

Chuleung Kim, and Jinmi Kim, and Mounghoon Lee, and Minhee Kang
Department of Psychiatry, College of Medicine, Inha University, Incheon, Korea. kce320@inha.ac.kr

Delusional parasitosis is characterized by the unshakeable belief of being infested with tiny (microscopic) insects. Patients spend much time trying to get rid of the bugs and suffer from these symptoms. Patients prefer to go to dermatologists because they have a strong conviction over the presence of a somatic disease and do not accept any psychiatric advice for their complaints. Folie a deux or shared psychotic disorder (SPD) is a relatively rare syndrome, which has long attracted clinical attention. Delusional parasitosis is associated in 5-15% of SPD and can run within a family. We experienced delusional parasitosis as Folie a Deux between a mother and her son and successfully treated them through early psychiatric intervention. We believe that attention should be drawn to DP with SPD.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010259 Paranoid Disorders Chronic mental disorders in which there has been an insidious development of a permanent and unshakeable delusional system (persecutory delusions or delusions of jealousy), accompanied by preservation of clear and orderly thinking. Emotional responses and behavior are consistent with the delusional state. Paranoia,Paranoid Psychoses,Psychoses, Paranoid,Disorder, Paranoid,Disorders, Paranoid,Paranoias,Paranoid Disorder
D003702 Delusions A false belief regarding the self or persons or objects outside the self that persists despite the facts, and is not considered tenable by one's associates. Delusion
D004478 Ectoparasitic Infestations Infestations by PARASITES which live on, or burrow into, the surface of their host's EPIDERMIS. Most ectoparasites are ARTHROPODS. Ectoparasitic Infestation,Infestation, Ectoparasitic,Infestations, Ectoparasitic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012753 Shared Paranoid Disorder A condition in which closely related persons, usually in the same family, share the same delusions. Folie a Deux,Folie a Trois,Paranoid Disorder, Shared,Shared Psychotic Disorder,Disorder, Shared Paranoid,Disorder, Shared Psychotic,Disorders, Shared Paranoid,Disorders, Shared Psychotic,Paranoid Disorders, Shared,Psychotic Disorder, Shared,Psychotic Disorders, Shared,Shared Paranoid Disorders,Shared Psychotic Disorders
D012934 Social Isolation The separation of individuals or groups resulting in the lack of or minimizing of social contact and/or communication. This separation may be accomplished by physical separation, by social barriers and by psychological mechanisms. In the latter, there may be interaction but no real communication. Isolation, Social,Social Exclusion,Exclusion, Social,Social Exclusions

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