Ekbom’s Syndrome in elderly woman with delusional persecution disorder

Authors

  • Lucas Lobato Dias Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0009-0000-5687-2527
  • João Vitor de Queiroz Campos Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0009-0006-0486-3155
  • Lucas Lima Silva Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0000-0002-3775-5664
  • Paula Correa de Araújo Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil https://orcid.org/0009-0009-8705-8654
  • Pedro Henrique Ribeiro da Cunha Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0000-0003-3910-4432
  • Rodrigo Nicolato Professor Doutor, Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0000-0003-1585-7720

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.789

Keywords:

Ekbom's Syndrome, delusional parasitosis, antipsychotic agents

Abstract

Ekbom’s Syndrome, also known as delusional parasitosis, is a rare psychiatric disorder characterized by the patient's firm belief of being infected with parasites that emerge through the skin, typically from the scalp, genital area, eyes, or mouth. In an attempt to remove the imaginary worms, some patients may self-inflict skin injuries and engage in self-mutilation. Initial consultations often involve dermatologists who frequently propose dermatological treatments that are ineffective. Once diagnosed by a psychiatrist, treatment typically involves the use of antipsychotic medications, with Pimozide being the most commonly reported drug in the literature. Due to the rarity of this disorder, the objective of this study is to report a case of Ekbom’s Syndrome in an elderly female patient with delusional persecutory disorder, who achieved complete remission of symptoms after combined use of Olanzapine and Risperidone, thereby regaining her quality of life and sense of well-being. This work is based on a database that encompasses case reports, literature reviews, journal articles, pharmacology sources, and psychiatry manuals.

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Author Biographies

Lucas Lobato Dias, Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

João Vitor de Queiroz Campos, Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Lucas Lima Silva, Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Paula Correa de Araújo, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil

Pedro Henrique Ribeiro da Cunha, Graduando em Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Rodrigo Nicolato, Professor Doutor, Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

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Published

2023-06-22

How to Cite

1.
Dias LL, Campos JV de Q, Silva LL, Araújo PC de, Cunha PHR da, Nicolato R. Ekbom’s Syndrome in elderly woman with delusional persecution disorder. Debates em Psiquiatria [Internet]. 2023 Jun. 22 [cited 2025 Nov. 6];13:1-9. Available from: https://revistardp.org.br/revista/article/view/789

Issue

Section

Case Report

Plaudit