alexa The Spectrum of Ideation in Patients with Symptoms of Infestation: From Overvalued Ideas to the Terminal Delusional State | OMICS International | Abstract
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
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Short Communication

The Spectrum of Ideation in Patients with Symptoms of Infestation: From Overvalued Ideas to the Terminal Delusional State

Gabrielle E. Brown1,2*, Eric Sorenson2,3, Mona Malakouti2,4, Argentina Leon2, Jason S. Reichenberg5, Michelle Magid6, Josephine L. Howard7, Jenny E. Murase2,8 and John Y.M. Koo2

1College of Medicine, University of Arizona, USA

2Department of Dermatology, University of California San Francisco, USA

3University of Southern California, USA

4Chicago Medical School, North Chicago, USA

5Department of Dermatology, University of Texas Southwestern - Austin, USA

6Department of Psychiatry, University of Texas Southwestern - Austin, USA

7Department of Psychiatry, University of California San Francisco, USA

8Department of Dermatology, Palo Alto Foundation Medical Group, USA

*Corresponding Author:
Gabrielle E. Brown
College of Medicine, University of Arizona
515 Spruce Street, San Francisco, CA 94118, USA
Tel: 415-476-3396
E-mail: [email protected]

Received date: July 28, 2014; Accepted date: September 27, 2014; Published date: October 03, 2014

Citation: Brown GE, Sorenson E, Malakouti M, Leon A, Reichenberg JS, et al. (2014) The Spectrum of Ideation in Patients with Symptoms of Infestation: From Overvalued Ideas to the Terminal Delusional State. J Clin Exp Dermatol Res 5:241. doi: 10.4172/2155-9554.1000241

Copyright: © 2014 Gabrielle Brown et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Delusional infestation (DI) is a type of monosymptomatic hypochondriacal psychosis characterized by the steadfast belief that one is infested with living organisms or inanimate material in the absence of objective proof. Although DI is generally regarded as a single psychotic phenotype characterized by either the presence or absence of a delusion, our experience has been that patients with DI present with varying levels of severity represented by various phenotypes along a continuum. Distinguishing where a particular patient presents on this spectrum has allowed us to modify our approach with greater sophistication and thereby optimize management. Our aim is to describe for the first time in dermatology the concept of the DI continuum with support from the psychiatric literature, and to provide practical therapeutic recommendations for each phenotype in the spectrum.

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