Delüzyonel parazitoz: İki olgu sunumu
Delüzyonel parazitoz: İki olgu sunumu
Yazar: Metin, Mahmut; Elmas, Ömer; Kızılyel, Okan; Özdemir, Şevki; Bilen, Handan; Güleç, Mustafa
Dergi: Cumhuriyet Tıp Dergisi, Vol. 36 No. 2, 2013
Anahtar kelimeler: Delusional parasitosis, ekbom syndrome, shared psychotic disorder ; Delüzyonel parazitoz, ekbom sendromu, paylaşılmış psikotik bozukluk

ÖzetPsikojenik parazitoz olarak da bilinen delüzyonel parazitoz, tıbbi bir kanıt olmaksızın hastaların parazitlerle enfeste olduğu sanrısı ile karakterize, nadir görülen kronik psikiyatrik bir hastalıktır. Etiyoloji tam olarak bilinmemekle beraber striatal dopamin taşıyıcı fonksiyonun azalmasının patogenezde rol oynadığı hipotezi ileri sürülmüştür. Olgularımız, tüm vücutta yaygın kaşıntı ve cildinde parazitlerin dolaşması şikayeti ile başvuran 39 yaşındaki baba ve 12 yaşındaki oğluydu. Hastalara delüzyonel parazitoz tanısı konuldu. Yapılan tetkiklere rağmen hastaların her ikisinde de organik patoloji ve parazit saptanamadı. Delüzyonel parazitoz psikiyatrik bir tablo olmasına rağmen hastaların genelde dermatoloğa başvurması açısından önem arz etmektedir. Delüzyonel parazitoz vakalarının aile içerisinde birden fazla kişide görülebileceğini ve bu vakaların psikiyatri kliniklerine yönlendirilmesinin önemini vurgulamak amacıyla olgularımızı sunuyoruz.Anahtar sözcükler: Delüzyonel parazitoz, ekbom sendromu, paylaşılmış psikotik bozukluk AbstractDelusional parasitosis also known as psychogenic parasitosis is a rare chronic psychiatric disorder characterized with delusion of parasitic infection without any medical evidence. Etiology is unknown but it is suggested that decrease in striatal dopamine transporter function may plays role in etiology. Our cases were 39 years old father and 12 years old boy presented with complaints of common pruritus and circulating of parasites on their skin. Diagnosis was delusional parasitosis. Any other diseases and parasites were not detected by physical examination and laboratory investigations. Although it is a psychiatric disorder it is important because patients usually visit dermatologist for the situation. We report these cases to emphasize the importance of that delusional parasitosis may presents in many patients of same family and these cases should be consulted to psychiatry clinics.Keywords: Delusional parasitosis, ekbom syndrome, shared psychotic disorder

Delusional parasitosis also known as psychogenic parasitosis is a rare chronic psychiatric disorder characterized with delusion of parasitic infection without any medical evidence. Etiology is unknown but it is suggested that decrease in striatal dopamine transporter function may plays role in etiology. Our cases were 39 years old father and 12 years old boy presented with complaints of common pruritus and circulating of parasites on their skin. Diagnosis was delusional parasitosis. Any other diseases and parasites were not detected by physical examination and laboratory investigations. Although it is a psychiatric disorder it is important because patients usually visit dermatologist for the situation. We report these cases to emphasize the importance of that delusional parasitosis may presents in many patients of same family and these cases should be consulted to psychiatry clinics.