Kyrle's Disease in a Patient with Delusions of Parasitosis.

Authors:
Clara Matei
Clara Matei
"Colentina" Clinical Hospital
Simona-Roxana Georgescu
Simona-Roxana Georgescu
"Carol Davila" University of Medicine and Pharmacy
Romania

Rom J Intern Med 2016 Jan-Mar;54(1):66-9

Acquired perforating disorders are a group of uncommon skin conditions characterized by transepidermal extrusion of altered dermal material, most often associated with diabetes mellitus and chronic kidney failure. Delusional parasitosis is a primary psychiatric disorder in which affected patients have fixed, false beliefs that their skin is infested by parasites, in the absence of any evidence supporting their statements. A 69 year old malepatient addressed the Dermatology Department for a skin eruption consisting of multiple umbilicated keratotic papules with a generalized distribution. The patient believed that the lesions were produced by small parasites entering and exiting his skin. The histopathological examination confirmed the clinical diagnosis of Kyrle's disease. The psychiatric examination established the diagnosis of delusions of parasitosis. This is the first reported case of Kyrle's disease associated with delusions of parasitosis. There is no evidence supporting the hypothesis that delusions of parasitosis might be a predisposing factor for Kyrle's disease. However, we believe that the pruritic dermatosis might have triggered the delusions of parasitosis due to the associated pruritus. On the other hand the constant excoriations and traumatizing of a skin prone to develop idiopathic Kyrle's disease in the attempt to remove the parasites prevented the complete resolution of the lesions.

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July 2016
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References

(Supplied by CrossRef)
disease
AZAD et al.
Dermatology Online Journal 2013
SUE Diseases In
CHAI et al.
Dermatology 2012
disorders Textbook of Eighth
MILLARD et al.
Dermatology Edition 2004
Delusional parasitosis with hyperthyroidism in an elderly woman case report of Medical Case Reports
EYLEM et al.
Journal 2013
SUE Diseases In
CHAI et al.
Dermatology 2012
PSYCHIATRIC ASSOCIATION Diagnostic and statistical manual of mental disorders th ed
Arlington et al.
AMERICAN 2013
disease
AZAD et al.
Dermatology Online Journal 2013
disease Treatment with topically applied tretinoin
PETROZZI et al.
Arch Dermatol 1974
FA diseases In dermatology in general medicine New York
SANDOZ et al.
2008
DIWAN s disease in a patient of diabetes mellitus and chronic renal failure on dialysis of and
NAIR et al.
Journal Family Medicine Primary Care

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