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Delusional infestation: Clinical presentations, diagnosis, and management
Julio Torales1, Oscar García1, Iván Barrios1
1Department of Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.
Journal of Cosmetic Dermatology
|October 24, 2020
Summary
Delusional infestation, a psychiatric disorder causing self-induced skin lesions, requires careful diagnosis and treatment. This review updates clinical aspects and management for healthcare professionals.
Area of Science:
- Psychiatry
- Dermatology
- Psychosomatic Medicine
Background:
- Delusional infestation is a primary psychiatric disorder.
- It can manifest as somatic-type delusional disorder, leading to self-inflicted skin lesions.
- It may also be secondary to other psychiatric conditions, medical issues, or substance abuse.
Purpose of the Study:
- To review the prevalence, clinical features, presentations, and differential diagnoses of delusional infestation.
- To provide treatment recommendations, with a focus on psychological aspects.
- To offer an updated resource for dermatologists and general practitioners.
Main Methods:
- Literature search of PubMed (January 2001 - June 2020).
- Keywords included: delusional parasitosis, delusional infestation, psychological.
- Reference lists of identified articles were reviewed; English language articles were included.
Main Results:
- Clinical manifestations are crucial for differential diagnosis.
- Psychological implications and management perspectives are significant.
- Understanding these aspects aids in proper recognition and treatment.
Conclusions:
- This article provides an updated overview of delusional infestation's clinical aspects.
- It aims to guide dermatologists and general practitioners in managing this condition.
- Emphasizes the importance of recognizing psychological factors in treatment.
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