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Monosymptomatic Hypochondriacal Psychosis Manifesting as Delusions of Parasitosis: A Description of Four Cases Successfully Treated With Pimozide

Monosymptomatic Hypochondriacal Psychosis Manifesting as Delusions of Parasitosis: A Description... Abstract • A recent article in the Archives described the severe problems encountered in trying to treat patients with delusions of parasitosis. The present article describes four such cases, which fall into the larger category of monosymptomatic hypochondriacal psychoses, conditions that appear to be related to the paranoid disorders. Evidence is accumulating that such cases may respond very specifically to treatment with pimozide, a relatively new psychotropic medication. This drug keeps the symptoms in remission but does not effect a cure; nevertheless, it may represent a highly important advance in therapy in a condition traditionally regarded as virtually untreatable. (Arch Dermatol 114:940-943, 1978) References 1. Gould WM, Gragg TM: Delusions of parasitosis: An approach to the problem . Arch Dermatol 112:1745-1748, 1976.Crossref 2. Digest of Neurology and Psychiatry. Series 45, Feb 15, 1977. 3. Delusions of parasitosis , editorial. Br Med J 1:790-791, 1977.Crossref 4. Riding J, Munro A: Pimozide in the treatment of monosymptomatic hypochondriacal psychosis . Lancet 1:400, 1975.Crossref 5. Riding J, Munro A: Pimozide in the treatment of monosymptomatic hypochondriacal psychosis . Acta Psychiatr Scand 52:23-30, 1975.Crossref 6. Kenyon FE: Hypochondriacal states . Br J Psychiatr 129:1-14, 1976.Crossref 7. Reilly TM: Pimozide in monosymptomatic psychosis . Lancet 1:1385, 1975.Crossref 8. Reilly TM, Beard AW: Monosymptomatic hypochondriasis . Br J Psychiatr 129:191, 1976.Crossref 9. Roberts J, Roberts R: Delusions of parasitosis . Br Med J 2:1219, 1977. 10. Retterstøl N: Paranoid psychoses with hypochondriacal delusions as the main delusion . Acta Psychiatr Scand 44:334-353, 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Monosymptomatic Hypochondriacal Psychosis Manifesting as Delusions of Parasitosis: A Description of Four Cases Successfully Treated With Pimozide

Archives of Dermatology , Volume 114 (6) – Jun 1, 1978

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1978.01640180074018
Publisher site
See Article on Publisher Site

Abstract

Abstract • A recent article in the Archives described the severe problems encountered in trying to treat patients with delusions of parasitosis. The present article describes four such cases, which fall into the larger category of monosymptomatic hypochondriacal psychoses, conditions that appear to be related to the paranoid disorders. Evidence is accumulating that such cases may respond very specifically to treatment with pimozide, a relatively new psychotropic medication. This drug keeps the symptoms in remission but does not effect a cure; nevertheless, it may represent a highly important advance in therapy in a condition traditionally regarded as virtually untreatable. (Arch Dermatol 114:940-943, 1978) References 1. Gould WM, Gragg TM: Delusions of parasitosis: An approach to the problem . Arch Dermatol 112:1745-1748, 1976.Crossref 2. Digest of Neurology and Psychiatry. Series 45, Feb 15, 1977. 3. Delusions of parasitosis , editorial. Br Med J 1:790-791, 1977.Crossref 4. Riding J, Munro A: Pimozide in the treatment of monosymptomatic hypochondriacal psychosis . Lancet 1:400, 1975.Crossref 5. Riding J, Munro A: Pimozide in the treatment of monosymptomatic hypochondriacal psychosis . Acta Psychiatr Scand 52:23-30, 1975.Crossref 6. Kenyon FE: Hypochondriacal states . Br J Psychiatr 129:1-14, 1976.Crossref 7. Reilly TM: Pimozide in monosymptomatic psychosis . Lancet 1:1385, 1975.Crossref 8. Reilly TM, Beard AW: Monosymptomatic hypochondriasis . Br J Psychiatr 129:191, 1976.Crossref 9. Roberts J, Roberts R: Delusions of parasitosis . Br Med J 2:1219, 1977. 10. Retterstøl N: Paranoid psychoses with hypochondriacal delusions as the main delusion . Acta Psychiatr Scand 44:334-353, 1968.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 1978

References