Management of delusions of parasitosis: an interview with experts in psychodermatology

Delusions of parasitosis (DOP), which is also called Morgellons disease or delusional infestation, can be one of the most challenging clinical encounters in a dermatologist’s practice. One reason for this is lack of education during dermatology residency and a paucity of resources for the practicing...

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Main Authors: Nicholas Brownstone, MD, Josie Howard, MD, John Koo, MD
Format: Article
Language:English
Published: Wolters Kluwer 2022-10-01
Series:International Journal of Women's Dermatology
Online Access:http://journals.lww.com/10.1097/JW9.0000000000000035
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author Nicholas Brownstone, MD
Josie Howard, MD
John Koo, MD
author_facet Nicholas Brownstone, MD
Josie Howard, MD
John Koo, MD
author_sort Nicholas Brownstone, MD
collection DOAJ
description Delusions of parasitosis (DOP), which is also called Morgellons disease or delusional infestation, can be one of the most challenging clinical encounters in a dermatologist’s practice. One reason for this is lack of education during dermatology residency and a paucity of resources for the practicing dermatologist such as specialized psychodermatology clinics for these patients. To help close this knowledge gap, an interview was conducted with 3 experts in the field of psychodermatology and their responses were recorded and edited with goal of improving care for patients suffering from DOP by educating the busy, practicing dermatologist. The experts discussed many topics regarding DOP including the difference between primary and secondary DOP, how to build a good rapport with DOP patients, why the condition is seen mostly in older woman, and which medications are effective for treatment. The interview ends with a few high-yield practical treatment tips.
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spelling doaj.art-ba1707be5e354312a0c8ae9fd4fbb8022022-12-22T03:46:19ZengWolters KluwerInternational Journal of Women's Dermatology2352-64752022-10-0183e03510.1097/JW9.0000000000000035202210000-00003Management of delusions of parasitosis: an interview with experts in psychodermatologyNicholas Brownstone, MD0Josie Howard, MD1John Koo, MD2a Department of Dermatology, University of California, San Francisco, San Francisco, CA.a Department of Dermatology, University of California, San Francisco, San Francisco, CA.a Department of Dermatology, University of California, San Francisco, San Francisco, CA.Delusions of parasitosis (DOP), which is also called Morgellons disease or delusional infestation, can be one of the most challenging clinical encounters in a dermatologist’s practice. One reason for this is lack of education during dermatology residency and a paucity of resources for the practicing dermatologist such as specialized psychodermatology clinics for these patients. To help close this knowledge gap, an interview was conducted with 3 experts in the field of psychodermatology and their responses were recorded and edited with goal of improving care for patients suffering from DOP by educating the busy, practicing dermatologist. The experts discussed many topics regarding DOP including the difference between primary and secondary DOP, how to build a good rapport with DOP patients, why the condition is seen mostly in older woman, and which medications are effective for treatment. The interview ends with a few high-yield practical treatment tips.http://journals.lww.com/10.1097/JW9.0000000000000035
spellingShingle Nicholas Brownstone, MD
Josie Howard, MD
John Koo, MD
Management of delusions of parasitosis: an interview with experts in psychodermatology
International Journal of Women's Dermatology
title Management of delusions of parasitosis: an interview with experts in psychodermatology
title_full Management of delusions of parasitosis: an interview with experts in psychodermatology
title_fullStr Management of delusions of parasitosis: an interview with experts in psychodermatology
title_full_unstemmed Management of delusions of parasitosis: an interview with experts in psychodermatology
title_short Management of delusions of parasitosis: an interview with experts in psychodermatology
title_sort management of delusions of parasitosis an interview with experts in psychodermatology
url http://journals.lww.com/10.1097/JW9.0000000000000035
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