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Comorbidity of delusional parasitosis and folie á famille: Case presentation and review of literature

Sibel Mercan, Özgür Öğütcen, İlknur Kıvanç Altunay, Oğuz Karamustafalıoğlu.

Delusional parasitosis is very rare psychiatric disorder. Patients
believe that they are infested by parasites, worms, insects or bacteria,
and they usually apply dermatologists or family practitioners for
treatment at Şrst, and referred to psychiatrists after their symptoms
become more prominent. 10-15% of cases with delusional parasitosis
have comorbid shared psychotic disorder. Antipsychotics are drugs of
choice in these cases. In our case study we reparted that 5 members
of the same family complained about the persistent belief that they
were infested by parasites. The primary case of the family also have
psychosis, limited mental capacity, vit B12 deŞciency and history of
menengitis in his childhood. We used risperidon for treatment of
primary case. At the end of 2 months his symptoms ceased and other
family members became asymptomatic without any medication. He
was still asymptomatic at the end of six months. Our aim was to
present a case with delusional parasitosis and folie á famille
comorbidity, risperidon treatment in delusional parasitosis and
review the literature.

Key words: delusional parasitosis, shared psychotic disorder, folie á famille, risperidone

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