Delusions of ocular parasitosis

Purpose: To describe four cases of delusions of parasitosis in which self-inflicted ocular trauma occurred. Delusions of parasitosis is a somatic delusional disorder in which patients have the irrational belief that their bodies are infested by parasites or other infectious organisms. Self-inflicted...

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Veröffentlicht in:American journal of ophthalmology 1998-06, Vol.125 (6), p.852-856
Hauptverfasser: Sherman, Mark D., Holland, Gary N., Holsclaw, Douglas S., Weisz, James M., Omar, Osama H.M., Sherman, Ronald A.
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container_end_page 856
container_issue 6
container_start_page 852
container_title American journal of ophthalmology
container_volume 125
creator Sherman, Mark D.
Holland, Gary N.
Holsclaw, Douglas S.
Weisz, James M.
Omar, Osama H.M.
Sherman, Ronald A.
description Purpose: To describe four cases of delusions of parasitosis in which self-inflicted ocular trauma occurred. Delusions of parasitosis is a somatic delusional disorder in which patients have the irrational belief that their bodies are infested by parasites or other infectious organisms. Self-inflicted trauma can result from attempts to eliminate the supposed infestation. Methods: We reviewed the case histories of four patients (one male, three females, 35 to 45 years of age) who presented with complaints of ocular infestation but had no evidence of infectious ocular disease. The characteristics of these cases were compared with the features of delusions of parasitosis. Results: All patients maintained their beliefs regarding infestation, despite extensive clinical and laboratory investigations that found no evidence of infectious diseases. Self-inflicted eye injury, associated with attempts to eliminate the infestation, occurred in each case. Conclusions: The cases presented in this report are consistent with a diagnosis of delusions of parasitosis. The eye can be a principal focus of attention in this disorder, which may lead to vision loss caused by self-inflicted injury.
doi_str_mv 10.1016/S0002-9394(98)00048-8
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Delusions of parasitosis is a somatic delusional disorder in which patients have the irrational belief that their bodies are infested by parasites or other infectious organisms. Self-inflicted trauma can result from attempts to eliminate the supposed infestation. Methods: We reviewed the case histories of four patients (one male, three females, 35 to 45 years of age) who presented with complaints of ocular infestation but had no evidence of infectious ocular disease. The characteristics of these cases were compared with the features of delusions of parasitosis. Results: All patients maintained their beliefs regarding infestation, despite extensive clinical and laboratory investigations that found no evidence of infectious diseases. Self-inflicted eye injury, associated with attempts to eliminate the infestation, occurred in each case. Conclusions: The cases presented in this report are consistent with a diagnosis of delusions of parasitosis. 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Delusions of parasitosis is a somatic delusional disorder in which patients have the irrational belief that their bodies are infested by parasites or other infectious organisms. Self-inflicted trauma can result from attempts to eliminate the supposed infestation. Methods: We reviewed the case histories of four patients (one male, three females, 35 to 45 years of age) who presented with complaints of ocular infestation but had no evidence of infectious ocular disease. The characteristics of these cases were compared with the features of delusions of parasitosis. Results: All patients maintained their beliefs regarding infestation, despite extensive clinical and laboratory investigations that found no evidence of infectious diseases. Self-inflicted eye injury, associated with attempts to eliminate the infestation, occurred in each case. Conclusions: The cases presented in this report are consistent with a diagnosis of delusions of parasitosis. 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Psychosomatics</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sherman, Mark D.</creatorcontrib><creatorcontrib>Holland, Gary N.</creatorcontrib><creatorcontrib>Holsclaw, Douglas S.</creatorcontrib><creatorcontrib>Weisz, James M.</creatorcontrib><creatorcontrib>Omar, Osama H.M.</creatorcontrib><creatorcontrib>Sherman, Ronald A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sherman, Mark D.</au><au>Holland, Gary N.</au><au>Holsclaw, Douglas S.</au><au>Weisz, James M.</au><au>Omar, Osama H.M.</au><au>Sherman, Ronald A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delusions of ocular parasitosis</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1998-06-01</date><risdate>1998</risdate><volume>125</volume><issue>6</issue><spage>852</spage><epage>856</epage><pages>852-856</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Purpose: To describe four cases of delusions of parasitosis in which self-inflicted ocular trauma occurred. Delusions of parasitosis is a somatic delusional disorder in which patients have the irrational belief that their bodies are infested by parasites or other infectious organisms. Self-inflicted trauma can result from attempts to eliminate the supposed infestation. Methods: We reviewed the case histories of four patients (one male, three females, 35 to 45 years of age) who presented with complaints of ocular infestation but had no evidence of infectious ocular disease. The characteristics of these cases were compared with the features of delusions of parasitosis. Results: All patients maintained their beliefs regarding infestation, despite extensive clinical and laboratory investigations that found no evidence of infectious diseases. Self-inflicted eye injury, associated with attempts to eliminate the infestation, occurred in each case. Conclusions: The cases presented in this report are consistent with a diagnosis of delusions of parasitosis. 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subjects Adult
Adult and adolescent clinical studies
Biological and medical sciences
Delusions - psychology
Ectoparasitic Infestations - psychology
Eye Infections, Parasitic - psychology
Eye Injuries - etiology
Eye Injuries - therapy
Female
Humans
Male
Medical sciences
Middle Aged
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Mutilation - etiology
Self Mutilation - therapy
Self-Injurious Behavior
Somatoform disorders. Psychosomatics
Visual Acuity
title Delusions of ocular parasitosis
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