NERMİN GÜNDÜZ, Fatma EREN, Hatice TURAN, Zeynep AKBEY YILDIZ

Bir olgu özelinde sanrısal parazitoz tanı koyma süreci ve tedavi yönetimi

Sanrısal parazitoz sıklıkla dermatolojik problemlerin eşlik ettiği nadir bir psikiyatrik bozukluktur. Bu hastaların tıbbi kanıtlara rağmen parazitin vücutlarında bulunduğuyla ilgili sabit, değiştirilemez inançları vardır. En yaygın görülen formu, herhangi bir psikiyatrik bozukluğun olmadığı mono-hipokondriyak psikoz formudur. Bu hastalar genellikle ciltlerinde kaşınma, sürünme, gezinme hissi tanımlarlar. Tipik olarak hastalar, derideki varsandıkları patojeni ortadan kaldırmak için kendilerine zarar verecek şekilde tırnak, cilt soyucu, cımbız gibi gereçlerle ciltte ülserasyon, erozyonlara yol açabilirler. Biz bu olgu sunumunda psikiyatri polikliniğine ilk kez başvuran ve yapılan değerlendirmeler sonucunda sanrısal parazitoz tanısı konulan bir hastanın tanı ve tedavi sürecini bildirmeyi amaçladık.

Diagnosis and treatment management procedure in a case with delusional parasitosis

Delusional parasitosis is a rare psychiatric disorder frequently accompanied by dermatological problems. Despite the medical evidence, these patients have a constant belief that parasites are present in their bodies. The most common form is mono-hypochondriac psychosis, which there is no psychiatric disorder. These patients usually have a feeling of itching, biting, and crawling on their skin. Typically, patients can cause ulceration, erosions of the skin with tools such as nails, skin peelers, tweezers, etc., which will harm them to remove the pathogens they have in the past.In this case report, we aimed to report the diagnosis and treatment of a patient diagnosed with delusional parasitosis as a result of evaluations made for the first time to the psychiatric outpatient clinic.

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