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.

Download full-text PDF

Source
http://dx.doi.org/10.1515/rjim-2016-0008DOI Listing
July 2016
9 Reads

Publication Analysis

Top Keywords

delusions parasitosis
20
kyrle's disease
20
evidence supporting
8
parasitosis
6
skin
5
kyrle's
5
delusions
5
skin histopathological
4
exiting skin
4
parasites entering
4
small parasites
4
histopathological examination
4
produced small
4
entering exiting
4
clinical diagnosis
4
disease psychiatric
4
psychiatric examination
4
examination established
4
disease
4
diagnosis kyrle's
4

Similar Publications

Perforating disorders of the skin.

Indian J Pathol Microbiol 2013 Oct-Dec;56(4):355-8

Department of pathology, K. J. Somaiya Medical College and Research Centre, Mumbai, Maharashtra, India.

Background: Perforating disorders of the skin, is an often overlooked entity characterized by transepidermal elimination of material from the upper dermis and are classified histopathologically according to the type of epidermal disruption and the nature of the eliminated material. They include Kyrle's disease, perforating folliculitis, reactive perforating collagenosis, and elastosis perforans serpiginosa.

Aim: The aim of this study was to delineate the clinical and histopathological features of perforating disorders of the skin. Read More

View Article
June 2014

Kyrle's disease.

BMJ Case Rep 2014 Jan 15;2014. Epub 2014 Jan 15.

Konya Training and Research Hospital, Konya, Turkey.

Kyrle's disease (KD) is a dermatosis which was first described by Kyrle as "hyperkeratosis follicularis et parafollicularis in cutem penetrans" in 1916. Perforating dermatoses are a heterogeneous disorder group characterised by transepithelial elimination. KD has been seen in association with multiple disorders, including diabetes mellitus, renal and liver diseases, congestive heart failure, hyperlipidaemia, infective diseases and abnormal metabolism of vitamin A. Read More

View Article
January 2014

[Kyrle's disease].

Med Pregl 2002 Jan-Feb;55(1-2):47-50

Klinika za kozno-venericne bolesti, Klinicki centar, Novi Sad.

Introduction: Hyperkeratosis follicularis et parafollicularis in cuten penetrans known as Kyrle's disease is a recessive hereditary genodermatosis. Generally, Kyrle's disease appears between 30 to 50 years of age and women are affected more than men.

Case Report: We report a case of a 40-year-old man, a worker in a cement factory, who noticed the first skin lesions six years ago. Read More

View Article
July 2002