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Fortschr Neurol Psychiatr 2002; 70(10): 531-541
DOI: 10.1055/s-2002-34666
Übersicht
© Georg Thieme Verlag Stuttgart · New York

Der „Dermatozoenwahn”

Eine aktuelle ÜbersichtDelusions of ParasitosisAn Up-To-Date ReviewR.  W.  Freudenmann1
  • 1Universitätsklinik Ulm Abteilung Psychiatrie III (Direktor: Prof. Dr. Dr. M. Spitzer)
Besonderer Dank gebührt Bartosz Zurowski für die Durchsicht früherer Formen dieser Arbeit.
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Publication History

Publication Date:
11 October 2002 (online)

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Zusammenfassung

Diese Arbeit gibt eine aktuelle Übersicht über den sog. „Dermatozoenwahn” (DW) unter besonderer Berücksichtigung klinischer Interessen. Angesichts des Mangels an klaren Leitlinien für das Vorgehen wird ein effizientes diagnostisches Stufenschema vorgestellt. Die verschiedenen Ansätze in der Therapie des DW werden einzeln besprochen und in einer Checkliste zusammengefasst. Die vorliegenden Informationen zum therapeutischen Goldstandard, dem Neuroleptikum Pimozid, werden diskutiert. Symptome und klinische Charakteristika des DW werden u. a. anhand von Beispielmaterial aus einer von Patienten organisierten Internetseite dargestellt. Die Arbeit liefert zudem eine umfassende Literaturübersicht zur Pathogenese des DW und seiner Klassifikation. Abschließend werden mögliche zukünftige Therapien des DW, z. B. Serotonin-Dopamin-Antagonisten, sowie verschiedene aktuelle Verfahren zur Erforschung von Halluzinationen besprochen.

Abstract

This paper gives an up-to-date review on delusional parasitosis (DP) and particularly meets clinical interests. Facing the lack of clear guidelines for clinical practice an efficient diagnostic staircase procedure is presented. The different approaches in the therapy of DP are reviewed and summed up in a checklist. The available information on the therapeutic gold standard, the neuroleptic agent pimozide, is discussed. Symptoms and clinical characteristics of DP are presented partly based on material from an internet website run by patients. Moreover, this paper delivers a comprehensive literature review on the pathogenesis of DP and its classification. To conclude, possible future therapies in DP, e. g. serotonin-dopamine-antagonists, as well as current methods in research on hallucinations are discussed.

Literatur

  • 1 Freudenmann R W. Ein Fall von „Dermatozoenwahn” bei schwerer Herzinsuffizienz. Olanzapin im Rahmen einer multimodalen Therapie. (eingereicht)
  • 2 Thieberge G. Les acarophobes.  Rev Gén Clin Thér. 1894;  32 373
    PubMedSearch in Google Scholar
  • 3 Ekbom K A. Der praesenile Dermatozoenwahn.  Acta Psychiatr Neurol Scand. 1938;  13 227-259
    PubMedSearch in Google Scholar
  • 4 Slaughter J R, Zanol K, Rezvani H, Flax J. Psychogenic parasitosis. A case series and literature review.  Psychosomatics. 1998;  39 491-500
    PubMedSearch in Google Scholar
  • 5 Trabert W. Epidemiologie des Dermatozoenwahns.  Nervenarzt. 1991;  62 165-169
    PubMedSearch in Google Scholar
  • 6 Musalek M, Grunberger J, Lesch O M, Linzmayer L, Walter H, Gebhart W. Psychopathologie der Dermatozoenwahnkranken.  Nervenarzt. 1988;  59 603-609
    PubMedSearch in Google Scholar
  • 7 Maier C. Zum Problem des Dermatozoenwahnsyndroms.  Nervenarzt. 1987;  58 107-115
    PubMedSearch in Google Scholar
  • 8 Trabert W. Dermatozoenwahn bei Hypoparathyreoidismus. Überlegungen zur Wahngenese.  Psychiatr Neurol Med Psychol (Leipz). 1985;  37 648-655
    PubMedSearch in Google Scholar
  • 9 Ganner H, Lorenzi E. Der Dermatozoenwahn.  Psychiatr Clin. 1975;  8 31-44
    PubMedSearch in Google Scholar
  • 10 Bers N, Conrad K. Die chronische taktile Halluzinose.  Fortschritte Neurol Psychiatr. 1954;  22 254-270
    PubMedSearch in Google Scholar
  • 11 Fleck U. Bemerkungen zur chronischen taktilen Halluzinose.  Arch Psychiat Nervenkr. 1955;  193 261-276
    CrossrefPubMedSearch in Google Scholar
  • 12 Bergmann B. Zur Genese der taktilen Halluzinose bzw. des Dermatozoenwahns.  Nervenarzt. 1957;  28 22-27
    PubMedSearch in Google Scholar
  • 13 Liebaldt G, Klages W. Morphologische Befunde bei einer „isolierten taktilen Dermatozoenhalluzinose”.  Nervenarzt. 1961;  32 157
    PubMedSearch in Google Scholar
  • 14 WHO .Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien Bern: Hans Huber 2000: 77
    Search in Google Scholar
  • 15 Berrios G E. Tactile hallucinations: conceptual and historical aspects.  J Neurol Neurosurg Psychiatry. 1982;  45 285-293
    PubMedSearch in Google Scholar
  • 16 Berrios G E. Delusional parasitosis and physical disease.  Compr Psychiatry. 1985;  26 395-403
    CrossrefPubMedSearch in Google Scholar
  • 17 de Leon J, Antelo R E, Simpson G. Delusion of parasitosis or chronic tactile hallucinosis: hypothesis about their brain physiopathology.  Compr Psychiatry. 1992;  33 25-33
    CrossrefPubMedSearch in Google Scholar
  • 18 Hopkinson G. Delusions of infestation.  Acta Psychiatr Scand. 1970;  46 111-119
    CrossrefPubMedSearch in Google Scholar
  • 19 Schwarz H. Circumscripte Hypochondrien.  Monatsschr Psychiatr Neurol. 1929;  72 150-164
    PubMedSearch in Google Scholar
  • 20 Riding B E, Munro A. Letter: Pimozide in monosymptomatic psychosis.  Lancet. 1975;  1 400-401
    PubMedSearch in Google Scholar
  • 21 Munro A. Monosymptomatic hypochondriacal psychosis.  Br J Psychiatry Suppl. 1988;  (2) 37-40
    PubMedSearch in Google Scholar
  • 22 Wilson J, Miller H. Delusions of parasitosis.  Arch Dermatol Syphol. 1946;  54 39-56
    PubMedSearch in Google Scholar
  • 23 Aleshire I. Delusions of parasitosis. Report of a successful care with antipellagrous treatment.  JAMA. 1954;  155 15-27
    PubMedSearch in Google Scholar
  • 24 Halprin K M. The art of self-mutilation. II. Delusions of parasitosis.  JAMA. 1966;  198 1207
    CrossrefPubMedSearch in Google Scholar
  • 25 Gould W M, Gragg T M. Delusions of parasitosis. An approach to the problem.  Arch Dermatol. 1976;  112 1745-1748
    CrossrefPubMedSearch in Google Scholar
  • 26 Lyell A. The Michelson Lecture. Delusions of parasitosis.  Br J Dermatol. 1983;  108 485-499
    PubMedSearch in Google Scholar
  • 27 Wykoff R F. Delusions of parasitosis: a review.  Rev Infect Dis. 1987;  9 433-437
    PubMedSearch in Google Scholar
  • 28 Skott A. Delusions of infestation. Report from the Psychiatric Research Center. Nr.13. Goteborg: St. Jorgen's Hospital, University of Goteborg 1978
    Search in Google Scholar
  • 29 Hamann K, Avnstorp C. Delusions of infestation treated by pimozide: a double-blind crossover clinical study.  Acta Derm Venereol. 1982;  62 55-58
    PubMedSearch in Google Scholar
  • 30 Renvoize E B, Kent J, Klar H M. Delusional infestation and dementia: a case report.  Br J Psychiatry. 1987;  150 403-405
    PubMedSearch in Google Scholar
  • 31 Freyne A, Wrigley M. Delusional infestation in an elderly population.  Ir Med J. 1994;  87 86-88
    PubMedSearch in Google Scholar
  • 32 Freyne A, Kenny E, Cooney C. Delusions of infestation - a case report of response to risperidone.  Ir Med J. 1999;  92 435
    PubMedSearch in Google Scholar
  • 33 Waldron W G. The role of the entomologist in delusional parasitosis (entomophobia).  Bull Entomol Soc Amer. 1962;  8 81-83
    PubMedSearch in Google Scholar
  • 34 Reilly T M, Jopling W H, Beard A W. Successful treatment with pimozide of delusional parasitosis.  Br J Dermatol. 1978;  98 457-459
    PubMedSearch in Google Scholar
  • 35 Marneros A, Deister A, Rohde A. Delusional parasitosis. A comparative study to late-onset schizophrenia and organic mental disorders due to cerebral arteriosclerosis.  Psychopathology. 1988;  21 267-274
    PubMedSearch in Google Scholar
  • 36 Musalek M, Bach M, Passweg V, Jaeger S. The position of delusional parasitosis in psychiatric nosology and classification.  Psychopathology. 1990;  23 115-124
    PubMedSearch in Google Scholar
  • 37 Aizenberg D, Schwartz B, Zemishlany Z. Delusional parasitosis associated with phenelzine.  Br J Psychiatry. 1991;  159 716-717
    PubMedSearch in Google Scholar
  • 38 Trabert W. 100 years of delusional parasitosis. Meta-analysis of 1,223 case reports.  Psychopathology. 1995;  28 238-246
    PubMedSearch in Google Scholar
  • 39 Trabert W. Shared psychotic disorder in delusional parasitosis.  Psychopathology. 1999;  32 30-34
    CrossrefPubMedSearch in Google Scholar
  • 40 Bhatia M S, Jagawat T, Choudhary S. Delusional parasitosis: a clinical profile.  Int J Psychiatry Med. 2000;  30 83-91
    PubMedSearch in Google Scholar
  • 41 Zanol K, Slaughter J, Hall R. An approach to the treatment of psychogenic parasitosis.  Int J Dermatol. 1998;  37 56-63
    CrossrefPubMedSearch in Google Scholar
  • 42 Perrin L. Des nevrodermies parasitophobiques.  Ann Dermatol (Paris). 1896;  7 129-138
    PubMedSearch in Google Scholar
  • 43 Pope F M. Parasitophobia as the presenting symptom of vitamin B12 deficiency.  Practitioner. 1970;  204 421-422
    PubMedSearch in Google Scholar
  • 44 Gonzalez Seijo J C, Lastra Martinez I, Ramos Vicencte Y M. [Parasitic delusions: literature review and report of new cases (Abstract)].  Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1993;  21 56-62
    PubMedSearch in Google Scholar
  • 45 Takeda M, Tanino S, Nishinuma K, Matsubayashi T, Yamashita S, Nishimura T. A case of hypophyseal prolactinoma with treatable delusions of dermatozoiasis.  Acta Psychiatr Scand. 1985;  72 470-475
    PubMedSearch in Google Scholar
  • 46 Reilly T, Batchelor D. The presentation and treatment of delusional parasitosis: a dermatological perspective.  Int Clin Psychopharmacol. 1986;  1 340-353
    PubMedSearch in Google Scholar
  • 47 Zomer S F, de Wit R F, Van Bronswijk J E, Nabarro G, Van Vloten W A. Delusions of parasitosis. A psychiatric disorder to be treated by dermatologists? An analysis of 33 patients.  Br J Dermatol. 1998;  138 1030-1032
    CrossrefPubMedSearch in Google Scholar
  • 48 Ford E B, Calfee D P, Pearson R D. Delusions of intestinal parasitosis.  South Med J. 2001;  94 545-547
    PubMedSearch in Google Scholar
  • 49 Mester H. Der Ungezieferwahn - ein Beitrag über die Ätiologie und den Aufbau dieser Halluzinose.  Fortschr Neurol Psychiatr. 1981;  49 136-144
    PubMedSearch in Google Scholar
  • 50 Hoffmann S O. Rückbildung eines sogenannten Dermatozoenwahns nach Schrittmacherimplantation. Zum Problem der symptomatischen Psychosen bei Herzkrankheiten.  Nervenarzt. 1973;  44 48-51
    PubMedSearch in Google Scholar
  • 51 Janzarik W. Über das Kontaktmangelparanoid des höheren Alters und den Syndromcharakter schizophrenen Krankseins.  Nervenarzt. 1973;  44 515-526
    PubMedSearch in Google Scholar
  • 52 Rasanen P, Erkonen K, Isaksson U, Koho P, Varis R, Timonen M, Leinonen E, Isohanni M, Alanko A. Delusional parasitosis in the elderly: a review and report of six cases from northern Finland.  Int Psychogeriatr. 1997;  9 459-464
    CrossrefPubMedSearch in Google Scholar
  • 53 Scharfetter C. Allgemeine Psychopathologie. Eine Einführung. Stuttgart: Thieme 1996: 200-213
    Search in Google Scholar
  • 54 Goddard J. Analysis of 11 cases of delusions of parasitosis reported to the Mississippi Department of Health.  South Med J. 1995;  88 837-839
    PubMedSearch in Google Scholar
  • 55 Anonymus. The matchbox sign [editorial].  Lancet. 1983;  2 261
    PubMedSearch in Google Scholar
  • 56 Schrut A H, Waldron W G. Psychiatric and entomological aspects of delusory parasitosis.  JAMA. 1963;  186 429-430
    PubMedSearch in Google Scholar
  • 57 Monk B E, Rao Y J. Delusions of parasitosis with fatal outcome.  Clin Exp Dermatol. 1994;  19 341-342
    PubMedSearch in Google Scholar
  • 58 Ait-Ameur A, Bern P, Firoloni M P, Menecier P. [Delusional parasitosis or Ekbom's syndrome] (abstract).  Rev Med Interne. 2000;  21 182-186
    PubMedSearch in Google Scholar
  • 59 Schwartz E, Witztum E, Mumcuoglu K Y. Travel as a trigger for shared delusional parasitosis.  J Travel Med. 2001;  8 26-28
    PubMedSearch in Google Scholar
  • 60 Sugahara H, Otani Y, Sakamoto M. Delusional parasitosis accompanied by word deafness due to cerebral infarction: folie a deux.  Psychosomatics. 2000;  41 447-448
    CrossrefPubMedSearch in Google Scholar
  • 61 Driscoll M S, Rothe M J, Grant-Kels J M, Hale M S. Delusional parasitosis: a dermatologic, psychiatric, and pharmacologic approach.  J Am Acad Dermatol. 1993;  29 1023-1033
    PubMedSearch in Google Scholar
  • 62 Nagaratnam N, O'Neile L. Delusional parasitosis following occipito-temporal cerebral infarction [letter].  Gen Hosp Psychiatry. 2000;  22 129-132
    PubMedSearch in Google Scholar
  • 63 Busch G. Syndrom des wahnhaften Ungezieferbefalles bei einem Diabetiker.  Z Gesamt Inn Med. 1960;  15 411-417
    PubMedSearch in Google Scholar
  • 64 Helmchen H. Zur Analyse des sogenannten Dermatozoenwahnes. Beitrag zur Syndrom-Genese.  Nervenarzt. 1961;  32 509-513
    PubMedSearch in Google Scholar
  • 65 Spitzer M. Halluzinationen. Ein Beitrag zur allgemeinen und klinischen Psychopathologie. Berlin Heidelberg New York: Springer 1988: 417-422
    Search in Google Scholar
  • 66 Wendland K L. Periphere Nervenschädigung bei Dermatozoenwahn.  Dtsch Med Wochenschr. 1973;  98 1305
    PubMedSearch in Google Scholar
  • 67 Traver J R. Unusual scalp dermatitis in humans caused by the mite Dermatophagoides.  Ent Soc Washington. 1951;  53 1-25
    PubMedSearch in Google Scholar
  • 68 Arnold L M, Auchenbach M B, McElroy S L. Psychogenic excoriation. Clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment.  CNS Drugs. 2001;  15 351-359
    CrossrefPubMedSearch in Google Scholar
  • 69 Riding J, Munro A. Pimozide in the treatment of monosymptomatic hypochondriacal psychosis.  Acta Psychiatr Scand. 1975;  52 23-30
    PubMedSearch in Google Scholar
  • 70 Ungvari G, Vladar K. Pimozide treatment for delusion of infestation.  Act Nerv Super (Praha). 1986;  28 103-107
    PubMedSearch in Google Scholar
  • 71 Fulop G, Phillips R A, Shapiro A K, Gomes J A, Shapiro E, Nordlie J W. ECG changes during haloperidol and pimozide treatment of Tourette's disorder.  Am J Psychiatry. 1987;  144 673-675
    PubMedSearch in Google Scholar
  • 72 Flockhart D A, Drici M D, Kerbusch T, Soukhova N, Richard E, Pearle P L, Mahal S K, Babb V J. Studies on the mechanism of a fatal clarithromycin-pimozide interaction in a patient with Tourette syndrome.  J Clin Psychopharmacol. 2000;  20 317-324
    CrossrefPubMedSearch in Google Scholar
  • 73 Benkert O, Hippius H. Kompendium der Psychiatriatischen Pharmakotherapie. Berlin Heidelberg New York: Springer 2000: 197
    Search in Google Scholar
  • 74 Garson Jr A. How to measure the QT interval-what is normal?.  Am J Cardiol. 1993;  72 14B-16B
    CrossrefPubMedSearch in Google Scholar
  • 75 Glassman A H, Bigger Jr J T. Antipsychotic drugs: prolonged QTc interval, torsade de pointes, and sudden death.  Am J Psychiatry. 2001;  158 1774-1782
    CrossrefPubMedSearch in Google Scholar
  • 76 Reilly J G, Ayis S A, Ferrier I N, Jones S J, Thomas S H. QTc-interval abnormalities and psychotropic drug therapy in psychiatric patients.  Lancet. 2000;  355 1048-1052
    CrossrefPubMedSearch in Google Scholar
  • 77 Czekalla J, Beasley Jr C M, Dellva M A, Berg P H, Grundy S. Analysis of the QTc interval during olanzapine treatment of patients with schizophrenia and related psychosis.  J Clin Psychiatry. 2001;  62 191-198
    PubMedSearch in Google Scholar
  • 78 Elmer K B, George R M, Peterson K. Therapeutic update: use of risperidone for the treatment of monosymptomatic hypochondriacal psychosis.  J Am Acad Dermatol. 2000;  43 683-686
    CrossrefPubMedSearch in Google Scholar
  • 79 Clayton D O, Clayton N M, Shen W W. Treatment of delusional parasitoses.  JAMA. 1997;  278 1319
    PubMedSearch in Google Scholar
  • 80 Gallucci G, Beard G. Risperidone and the treatment of delusions of parasitosis in an elderly patient.  Psychosomatics. 1995;  36 578-580
    PubMedSearch in Google Scholar
  • 81 Safer D L, Wenegrat B, Roth W T. Risperidone in the treatment of delusional parasitosis: a case report [letter].  J Clin Psychopharmacol. 1997;  17 131-132
    CrossrefPubMedSearch in Google Scholar
  • 82 Yorston G. Treatment of delusional parasitosis with sertindole [letter].  Int J Geriatr Psychiatry. 1997;  12 1127-1128
    PubMedSearch in Google Scholar
  • 83 Torch E M, Bishop Jr E R. Delusions and parasitosis: psychotherapeutic engagement.  Am J Psychother. 1981;  35 101-106
    PubMedSearch in Google Scholar
  • 84 Srinivasan T N, Suresh T R, Jayaram V, Fernandez M P. Nature and treatment of delusional parasitosis: a different experience in India.  Int J Dermatol. 1994;  33 851-855
    PubMedSearch in Google Scholar
  • 85 Brady K T, Lydiard R B, Malcolm R, Ballenger J C. Cocaine-induced psychosis.  J Clin Psychiatry. 1991;  52 509-512
    PubMedSearch in Google Scholar
  • 86 Darsow U, Scharein E, Bromm B, Ring J. Skin testing of the pruritogenic activity of histamine and cytokines (interleukin-2 and tumour necrosis factor-alpha) at the dermal- epidermal junction.  Br J Dermatol. 1997;  137 415-417
    CrossrefPubMedSearch in Google Scholar
  • 87 Musalek M, Podreka I, Walter H, Suess E, Passweg V, Nutzinger D, Strobl R, Lesch O M. Regional brain function in hallucinations: a study of regional cerebral blood flow with 99m-Tc-HMPAO-SPECT in patients with auditory hallucinations, tactile hallucinations, and normal controls.  Compr Psychiatry. 1989;  30 99-108
    CrossrefPubMedSearch in Google Scholar
  • 88 Silbersweig D, Stern E. Functional neuroimaging of hallucinations in schizophrenia: toward an integration of bottom-up and top-down approaches.  Mol Psychiatry. 1996;  1 367-375
    PubMedSearch in Google Scholar
  • 89 David A S. Auditory hallucinations: phenomenology, neuropsychology and neuroimaging update.  Acta Psychiatr Scand Suppl. 1999;  395 95-104
    PubMedSearch in Google Scholar
  • 90 Dierks T, Linden D E, Jandl M, Formisano E, Goebel R, Lanfermann H, Singer W. Activation of Heschl’s gyrus during auditory hallucinations.  Neuron. 1999;  22 615-621
    CrossrefPubMedSearch in Google Scholar
  • 91 Darsow U, Drzezga A, Frisch M, Munz F, Weilke F, Bartenstein P, Schwaiger M, Ring J. Processing of histamine-induced itch in the human cerebral cortex: a correlation analysis with dermal reactions.  J Invest Dermatol. 2000;  115 1029-1033
    CrossrefPubMedSearch in Google Scholar
  • 92 Ruppin E, Reggia J A, Horn D. Pathogenesis of schizophrenic delusions and hallucinations: a neural model.  Schizophr Bull. 1996;  22 105-123
    PubMedSearch in Google Scholar
  • 93 Kam P C, Tan K H. Pruritusitching for a cause and relief?.  Anaesthesia. 1996;  51 1133-1138
    PubMedSearch in Google Scholar
  • 94 Hoffman R E, Boutros N N, Berman R M, Roessler E, Belger A, Krystal J H, Charney D S. Transcranial magnetic stimulation of left temporoparietal cortex in three patients reporting hallucinated „voices”.  Biol Psychiatry. 1999;  46 130-132
    CrossrefPubMedSearch in Google Scholar
  • 95 Harbauer H. Das Syndrom des „Dermatozoenwahns” (Ekbom).  Nervenarzt. 1949;  20 254-258
    PubMedSearch in Google Scholar
  • 96 Schneider K. Klinische Psychopathologie. Stuttgart: Thieme 1987: 3
    Search in Google Scholar
  • 97 Morris M. Delusional infestation.  Br J Psychiatry Suppl. 1991;  (14) 83-87
    PubMedSearch in Google Scholar
  • 98 Miller-Kreuser E. Symptombild der chronischen taktilen Halluzinose bei Hypophysenveränderung.  Med Welt. 1962;  2 88-91
    PubMedSearch in Google Scholar
  • 99 Schilder P. Psychische Symptome bei Mittel- und Zwischenhirnerkrankungen.  Wien Klin Wochenschr. 1927;  36 1147-1148
    PubMedSearch in Google Scholar
  • 100 Winkler L. Der wahnhafte Ungezieferbefall.  Z Haut Geschlechtskr. 1957;  22 47-52
    PubMedSearch in Google Scholar
  • 101 May W W, Terpenning M S. Delusional parasitosis in geriatric patients.  Psychosomatics. 1991;  32 88-94
    PubMedSearch in Google Scholar
  • 102 Siegel R K. Cocaine hallucinations.  Am J Psychiatry. 1978;  135 309-314
    PubMedSearch in Google Scholar
  • 103 Elpern D J. Cocaine abuse and delusions of parasitosis.  Cutis. 1988;  42 273-274
    PubMedSearch in Google Scholar
  • 104 Ellingwood E H. Amphetamine psychosis: description of the individuals and process.  J Nerv Ment Dis. 1967;  44 273-283
    PubMedSearch in Google Scholar
  • 105 Marschall M A, Dolezal R F, Cohen M, Marschall S F. Chronic wounds and delusions of parasitosis in the drug abuser.  Plast Reconstr Surg. 1991;  88 328-330
    PubMedSearch in Google Scholar
  • 106 Sheppard N P, O'Loughlin S, Malone J P. Psychogenic skin disease: a review of 35 cases.  Br J Psychiatry. 1986;  149 636-643
    PubMedSearch in Google Scholar
  • 107 Daube H. Pervitinpsychosen.  Nervenarzt. 1949;  15 20-25
    PubMedSearch in Google Scholar
  • 108 Levin M. Transitory schizophrenias produced by bromide intoxication.  Am J Psychiatry. 1967;  103 229-237
    PubMedSearch in Google Scholar
  • 109 Bork K. Arzneimittelnebenwirkungen an der Haut: Klinik und Diagnostik zur Erkennung der auslösenden Medikamente. Stuttgart: Schattauer 1998
    Search in Google Scholar
  • 110 Wassilew S W. Juckreiz: Eine diagnostische und therapeutische Crux.  Dtsch Ärztebl. 2002;  99 A1096-1102
    PubMedSearch in Google Scholar
  • 111 Schwarz H. Circumskripte Hypochondrie, Dermatozoenwahn oder taktile Halluzinose?.  Nervenarzt. 1959;  30 203-211
    PubMedSearch in Google Scholar
  • 112 Munro A, Chmara J. Monosymptomatic hypochondriacal psychosis: a diagnostic checklist based on 50 cases of the disorder.  Can J Psychiatry. 1982;  27 374-376
    PubMedSearch in Google Scholar
  • 113 Andrews E, Bellard J, Walter-Ryan W G. Monosymptomatic hypochondriacal psychosis manifesting as delusions of infestation: case studies of treatment with haloperidol.  J Clin Psychiatry. 1986;  47 188-190
    PubMedSearch in Google Scholar
  • 114 Shah P A. Delusions of parasitosis.  South Med J. 1988;  81 939-940
    PubMedSearch in Google Scholar
  • 115 Paholpak S. Delusion of parasitosis: a report of ten cases at Srinagarind Hospital.  J Med Assoc Thai. 1990;  73 111-114
    PubMedSearch in Google Scholar
  • 116 Buckley P F, Sajatovic M, HY M. Treatment of delusional disorders with clozapine [letter].  Am J Psychiatry. 1994;  151 1394-1395
    PubMedSearch in Google Scholar
  • 117 Botschev C, Muller N. Opiate receptor antagonists for delusions of parasitosis [letter].  Biol Psychiatry. 1991;  30 530-531
    CrossrefPubMedSearch in Google Scholar
  • 118 Kalivas J, Kalivas L. Sertraline: lack of therapeutic efficacy in patients with delusions of parasitosis and dermatitis artefacta [letter].  Int J Dermatol. 1997;  36 477
    PubMedSearch in Google Scholar

Dr. med. R. Freudenmann

Universitätsklinik Ulm · Abteilung Psychiatrie III

Leimgrubenweg 12

89075 Ulm

Email: roland.freudenmann@medizin.uni-ulm.de