Antipsychotic Treatment for a Patient with Ekbom's Syndrome

Translated Titles





沈裕智(Yu-Zhi Shen);莊雅楨(Ya-Jen Chuang);陳益乾(Yi-Chyan Chen)

Key Words

Ekbom's症候群 ; 寄生蟲妄想 ; 皮膚潰爛 ; 抗精神病藥物 ; Ekbom's syndrome ; delusional parasitosis ; skin ulcer ; self-injury ; antipsychotics



Volume or Term/Year and Month of Publication

19卷1期(2005 / 03 / 01)

Page #

78 - 82

Content Language


Chinese Abstract


English Abstract

Objective: Ekbom's syndrome is defined as a false belief of infestation by living organisms such as insects or parasites. The etiology, treatment and clinical outcome of this disease are not well known. We report a case of delusional parasitosis in a patient who received multiple skin grafts due to skin ulcers which developed after repetitive self-injury. Case Report: The patient reported feeling irritation due to parasitic infestation in the deep skin in the recent 5 years. Gradually, he reported that these organisms had invaded the dorsum of both wrists. He reported attempts to scratch these parasites out, and had developed skin erosive ulcers, and received repetitive skin grafts. On treatment with atypical antipsychotics, the delusions ceased gradually. During the following two years, the delusional symptoms and episodes of self-injury resulting in skin erosion recurred when he discontinued taking antipsychotic medication. Conclusion: Ekbom's syndrome is a complex disease with diverse manifestations and a chronic course. Antipsychotics are effective in the treatment of associated delusions and perceptual disturbances. Long-term medication and psychiatric intervention are needed to prevent relapse of the disease.

Topic Category 醫藥衛生 > 社會醫學
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