Delusional parasitosis in dementia with Lewy bodies: a case report
Abstract Background Dementia with Lewy bodies (DLB) is characterized by fluctuating cognitive impairments, recurrent visual hallucinations, the motor symptoms of parkinsonism and REM sleep behavior disorder. Various neuropsychiatric symptoms including hallucination and delusions occur frequently; ho...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Annals of General Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12991-019-0253-3 |
| _version_ | 1819299066981384192 |
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| author | Sho Ochiai Hiroko Sugawara Yusuke Kajio Hibiki Tanaka Tomohisa Ishikawa Ryuji Fukuhara Tadashi Jono Mamoru Hashimoto |
| author_facet | Sho Ochiai Hiroko Sugawara Yusuke Kajio Hibiki Tanaka Tomohisa Ishikawa Ryuji Fukuhara Tadashi Jono Mamoru Hashimoto |
| author_sort | Sho Ochiai |
| collection | DOAJ |
| description | Abstract Background Dementia with Lewy bodies (DLB) is characterized by fluctuating cognitive impairments, recurrent visual hallucinations, the motor symptoms of parkinsonism and REM sleep behavior disorder. Various neuropsychiatric symptoms including hallucination and delusions occur frequently; however, delusional parasitosis is rare in DLB. Here, we report a case of DLB patient with delusional parasitosis. Case presentation The patient was an 89-year-old woman. At the age of 88, she began to complain her oral cenesthopathy, and developed cognitive decline, delusional parasitosis and parkinsonism. As a result of examination, she was diagnosed as DLB and treated with combination of donepezil 5 mg/day and aripiprazole 1.5 mg/day, and her complaint was disappeared. Conclusions Further studies are needed to investigate the association between delusional parasitosis and underlying pathophysiology of DLB, and the utility of antipsychotics for delusional parasitosis in DLB has to be examined through more cases. |
| first_indexed | 2024-12-24T05:39:54Z |
| format | Article |
| id | doaj.art-736f72ccace34937b0069dff09bdd20a |
| institution | Directory Open Access Journal |
| issn | 1744-859X |
| language | English |
| last_indexed | 2024-12-24T05:39:54Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Annals of General Psychiatry |
| spelling | doaj.art-736f72ccace34937b0069dff09bdd20a2022-12-21T17:12:51ZengBMCAnnals of General Psychiatry1744-859X2019-12-011811310.1186/s12991-019-0253-3Delusional parasitosis in dementia with Lewy bodies: a case reportSho Ochiai0Hiroko Sugawara1Yusuke Kajio2Hibiki Tanaka3Tomohisa Ishikawa4Ryuji Fukuhara5Tadashi Jono6Mamoru Hashimoto7Department of Neuropsychiatry, Kumamoto University HospitalDepartment of Neuropsychiatry, Kumamoto University HospitalYatsushiro HospitalDepartment of Neuropsychiatry, Kumamoto University HospitalDepartment of Neuropsychiatry, Kumamoto University HospitalDepartment of Neuropsychiatry, Kumamoto University HospitalDepartment of Neuropsychiatry, Kumamoto University HospitalDepartment of Behavioral Neurology and Neuropsychiatry, Osaka University United Graduate School of Child DevelopmentAbstract Background Dementia with Lewy bodies (DLB) is characterized by fluctuating cognitive impairments, recurrent visual hallucinations, the motor symptoms of parkinsonism and REM sleep behavior disorder. Various neuropsychiatric symptoms including hallucination and delusions occur frequently; however, delusional parasitosis is rare in DLB. Here, we report a case of DLB patient with delusional parasitosis. Case presentation The patient was an 89-year-old woman. At the age of 88, she began to complain her oral cenesthopathy, and developed cognitive decline, delusional parasitosis and parkinsonism. As a result of examination, she was diagnosed as DLB and treated with combination of donepezil 5 mg/day and aripiprazole 1.5 mg/day, and her complaint was disappeared. Conclusions Further studies are needed to investigate the association between delusional parasitosis and underlying pathophysiology of DLB, and the utility of antipsychotics for delusional parasitosis in DLB has to be examined through more cases.https://doi.org/10.1186/s12991-019-0253-3DLBDelusional parasitosisAripiprazoleDonepezil |
| spellingShingle | Sho Ochiai Hiroko Sugawara Yusuke Kajio Hibiki Tanaka Tomohisa Ishikawa Ryuji Fukuhara Tadashi Jono Mamoru Hashimoto Delusional parasitosis in dementia with Lewy bodies: a case report Annals of General Psychiatry DLB Delusional parasitosis Aripiprazole Donepezil |
| title | Delusional parasitosis in dementia with Lewy bodies: a case report |
| title_full | Delusional parasitosis in dementia with Lewy bodies: a case report |
| title_fullStr | Delusional parasitosis in dementia with Lewy bodies: a case report |
| title_full_unstemmed | Delusional parasitosis in dementia with Lewy bodies: a case report |
| title_short | Delusional parasitosis in dementia with Lewy bodies: a case report |
| title_sort | delusional parasitosis in dementia with lewy bodies a case report |
| topic | DLB Delusional parasitosis Aripiprazole Donepezil |
| url | https://doi.org/10.1186/s12991-019-0253-3 |
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