Concurrent Delusions of Ocular Parasitosis and Complex Visual Hallucinations from Charles Bonnet Syndrome Treated Successfully with Aripiprazole in an Elderly Male: A Case Report

Whitfield, Nakiya; Krasniak, Anne; Nguyen, Hien

doi:10.7812/tpp/20.132

Cited by 3 publications

(6 citation statements)

References 27 publications

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“…In this review, the rates of complete remission exhibited variations across all treatment modalities, regardless of whether typical or atypical antipsychotics were employed and whether psychotherapy was coadministered. These diverse outcomes can in part be attributed to the comorbidities associated with DOP patients such as depression, 1,4,7–11 schizophrenia, 4 ADHD, 6 anxiety, 4,5,7,9 and obsessive–compulsive disorders 4 . The existing gap in achieving full remission with the independent use of psychotropic medication along with the coexistence of comorbidities prompted this study to investigate the potential effect of using a combined approach of psychotherapeutic interventions and psychotropic medications in the treatment of individuals with DOP.…”

Section: Discussionmentioning

confidence: 99%

Psychological interventions in the treatment of delusional parasitosis: a brief review

Katamanin,

Jafferany

2023

Int J Dermatology

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This review synthesized evidence on the most up‐to‐date treatment outcomes in patients with delusional parasitosis and examined the impact of incorporating psychological interventions in conjunction with psychiatric treatment. The reporting of this review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines. PubMed and Google Scholar were searched between 2013 and 2023. Nine studies were included in this review. Partial remission was observed across all cases, irrespective of the treatment approach employed. Complete remission was limited to only three studies. No correlation was observed between the incorporation of psychological intervention in conjunction with psychotropic medication and an enhanced remission outcome. The findings underscore the importance of psychotropic medication as a fundamental component in the treatment of delusional parasitosis. The results highlight that although first‐ and second‐generation psychotropic medications are the mainstay treatment options, they nevertheless play a limited role because of the patients' steadfast delusions of infestations.

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Section: Discussionmentioning

confidence: 99%

Psychological interventions in the treatment of delusional parasitosis: a brief review

Katamanin,

Jafferany

2023

Int J Dermatology

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“…8 What is intriguing is the fact that the delusion takes the form of synesthesia, where the patient describes pruritus, crawling, and biting sensation associated with it. 9 It is paramount to conduct a physical examination and routine testing to rule out small living creatures. As with any delusion, it is indicated to not contradict the patient who may point to skin marks or provide samples of exfoliated skin or fibers as proof of their infestation.…”

Section: Psychological Comorbidities Inmentioning

confidence: 99%

“…Cases of associated visual hallucinations with DP have been reported in Charles Bonnet Syndrome due to significant visual loss as result of ocular pathology. 9 In a study by Oh et al, 10 delusional parasitosis has been identified as a psychiatric prodromal symptom in Parkinson's disease with both motor and nonmotor symptoms. One must not exclude the iatrogenic DP induced by dopaminergic or anticholinergic medications.…”

Section: Psychological Comorbidities Inmentioning

confidence: 99%

“…While it usually occurs individually, cases of folie à deux‐type Ekbom syndrome have been reported 8 . What is intriguing is the fact that the delusion takes the form of synesthesia, where the patient describes pruritus, crawling, and biting sensation associated with it 9 . It is paramount to conduct a physical examination and routine testing to rule out small living creatures.…”

Section: Introductionmentioning

confidence: 99%

“…As with any delusion, it is indicated to not contradict the patient who may point to skin marks or provide samples of exfoliated skin or fibers as proof of their infestation. Cases of associated visual hallucinations with DP have been reported in Charles Bonnet Syndrome due to significant visual loss as result of ocular pathology 9 …”

Section: Introductionmentioning

confidence: 99%

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Primary psychiatric disorders

Datta,

Das,

Jafferany

et al. 2023

Dermatological Reviews

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ObjectiveThis article explores disorders of trichotillomania, delusions of parasitosis, dysmorphophobia or body dysmorphic disorder, bulimia nervosa and anorexia nervosa, obsessive compulsive disorder, dermatitis artefacta, and specific phobia.MethodResearch data of case series and observational studies review their clinical manifestation as primary psychiatric disorders as well as treatment modalities in these disorders.ResultsWe also indicate that these diseases may be harbingers of medical diseases or coexist with various medical conditions.ConclusionsIt also emphasizes the importance of a multidisciplinary approach for both proper treatment and outcome.

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Insights into the Medical Evaluation of Ekbom Syndrome: An Overview

Mindru,

Radu,

Bumbu

et al. 2024

IJMS

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Ekbom syndrome, also known as delusional parasitosis (DP) or delusional infestation, is an uncommon psychiatric disorder distinguished by an enduring conviction of parasitic infestation, persisting notwithstanding the presence of medical evidence to the contrary. Primarily affecting middle-aged women, DP can manifest either as isolated psychological distress or as a component within a more intricate psychiatric framework, substantially influencing the quality of life for affected individuals. Its pathophysiological mechanism involves uncertain dopaminergic imbalances and dysfunction in the dopamine transporter system. Dermatologists often play a pivotal role in diagnosis, as patients first seek dermatological assessments of their signs and symptoms. However, DP frequently originates from underlying psychiatric disorders or medical variables, manifesting with neurological and infectious causative factors. The diagnostic complexity is attributed to patients’ resolute convictions, leading to delayed psychiatric intervention. First-line DP treatment involves antipsychotics, with newer agents demonstrating promising prospects, but the lack of standardized protocols poses a significant therapeutic challenge. In this narrative review, both a comprehensive approach to this uncommon pathology and an update on the state of knowledge in this medical subfield focused on optimizing the management of DP are provided. The complexity of DP underlying its uncommon nature and the incomplete understanding of its pathophysiology highlight the need for further research through multicenter studies and multidisciplinary teams to enhance therapeutic efficacy and safety.

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Concurrent Delusions of Ocular Parasitosis and Complex Visual Hallucinations from Charles Bonnet Syndrome Treated Successfully with Aripiprazole in an Elderly Male: A Case Report

Cited by 3 publications

References 27 publications

Psychological interventions in the treatment of delusional parasitosis: a brief review

Psychological interventions in the treatment of delusional parasitosis: a brief review

Primary psychiatric disorders

Insights into the Medical Evaluation of Ekbom Syndrome: An Overview

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