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Yıl:2020; Cilt: 23; Sayı: 1>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2020;23(1):111-115
Az bilinen bir konu Delüzyonel Parazitoz: Bir olgu sunumu
B Okumuş, C Hocaoglu, N Dilek
Recep Tayyip Erdoğan Üniversitesi Tıp Fakültesi, Rize
Delüzyonel parazitoz (DP) tıbbi bir kanıt olmamasına rağmen kișinin parazit ya da yașayan küçük yaratıklar tarafından enfekte olduğu yanlıș ve ısrarlı inancı ile seyreden sanrısal bir bozukluktur. DP yüzyıldan uzun zamandır Ekbom hastalığı, psikojenik parazitoz gibi çeșitli isimlerle adlandırılmış olmasına rağmen kliniği hakkındaki veriler belirsizliğini korumaktadır. Delüzyonel parazitozlu hastaların çoğu 50-70 yaş arası, evli, iyi eğitim almış, kadınlardır. DP etiyolojik olarak birincil veya ikincil şeklinde sınıflandırılabilir. İkincil delüzyonel parazitozda bulgular genel tıbbi, nörolojik ve psikiyatrik hastalıklara bağlı olarak ortaya çıkar. Delüzyonel parazitozun yavaş ve sinsi başladığı söylenmekle birlikte bazen akut seyirde görülebilmektedir. DP psikotik bir hastalık olmasına rağmen hastalar çoğunlukla dermatolog, aile hekimleri, enfeksiyon hastalıkları uzmanlarına başvurmaktadırlar. Psikiyatri klinik uygulamaları öncülüğünde değerlendirilmesi gereken DP’ nin dermatoloji ve enfeksiyon hastalıkları uygulamaları içinde daha fazla görülmesi nedeniyle tanı ve tedavide gecikmeler yaşanmaktadır.
A rarely known topic ‘Delusional Parasitosis’: A case report
Delusional parasitosis (DP) is a delusional disorder with a false belief that the person is infected by parasites or living small creatures, although there is no medical evidence. Although DP has been named as Ekbom disease and psychogenic parasitosis for more than 100 years, the clinic features still remains unclear. Most of the patients with delusional parasitosis are 50-70 years old, married and well educated women. DP’s etiology can be classified as primary or secondary. Symptoms in secondary delusional parasitosis occur due to general medical, neurological and psychiatric disorders. Although delusional parasitosis has insidious onset and chronic course, it is sometimes seen in acute onset. Although DP is a psychiatric disease, patients mostly appeal to dermatologists, family physicians and infectious diseases specialists. DP should be evaluated by psychiatrists but unfortunately they are usually evaluated by dermatology and infectious diseases and because of this reason, diagnosis and treatment are delayed.

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