Imaginary Insect or Mite Infestations
If in practice very long, most physicians, regardless of specialty, have encountered patients who claim that invisible insects or mites are on/in their skin. For proof, they may even bring in tiny bottles, bags, envelopes, and so forth, containing specks of dusts, hair, lint, or skin that they claim contain the offending specimens. In response, these patients are usually examined for actual arthropod infestations, evaluated for organic causes of the crawling sensations, and (frequently) given antiscabicidal creams or lotions. However, more often than not, the patient becomes discouraged with that particular doctor and moves on to another. Such wandering among physicians, entomologists, and public health personnel may last for years without the patient ever receiving the help he or she really needs.
KeywordsAtopic Dermatitis Cocaine Abuse Mite Infestation Steel Wool Family Practice Physician
Unable to display preview. Download preview PDF.
- 1.Koblenzer CS. The clinical presentation: Diagnosis and treatment of delusions of parasitosis—a dermatologie perspective. Bull Soc Vector Ecol 1993; 18: 6–10.Google Scholar
- 2.Thibierge G. Les acarophobes. Rev Gen Clin Therap 1894; 32: 373–376.Google Scholar
- 8.Elpern DJ. Cocaine abuse and delusions of parasitosis. Cutis 1988; 42: 273, 274.Google Scholar
- 9.Goddard J. Physician’s Guide to Arthropods of Medical Importance. 2nd ed. CRC, Boca Raton, FL, 1996.Google Scholar
- 10.Koblenzer CS. Psychocutaneous Disease. Grune and Stratton, Orlando, FL, 1987.Google Scholar
- 10a.Koblenzer CS. Infections in Medicine, 1998; 15: 169.Google Scholar