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https://www.readbyqxmd.com/read/29052453/review-of-epidemiology-clinical-presentation-diagnosis-and-treatment-of-common-primary-psychiatric-causes-of-cutaneous-disease
#1
J A Krooks, A G Weatherall, P J Holland
Approximately half of all patients presenting to dermatologists exhibit signs and symptoms of psychiatric conditions that are either primary or secondary to cutaneous disease. Because patients typically resist psychiatric consult, dermatologists often are on the front line in evaluating and treating these patients. Accordingly, distinguishing the specific underlying or resulting psychiatric condition is essential for effective treatment. The etiology, epidemiology, clinical presentation, diagnosis, and first-line treatment of specific primary psychiatric causes of dermatologic conditions, including delusional infestation, Morgellons syndrome, olfactory reference syndrome, body dysmorphic disorder, excoriation disorder, trichotillomania, and dermatitis artefacta are discussed here, followed by a discussion of the recommended treatment approach with an overview of the different first-line therapies discussed in this review, specifically cognitive behavioral therapy, atypical antipsychotics, selective serotonin reuptake inhibitors, and tricyclic antidepressants...
November 5, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28960311/formication-tactile-hallucinations-delusional-parasitosis-and-morgellons-enough-to-make-your-skin-crawl
#2
Jonathan S Dowben, Peter C Kowalski, Norman L Keltner
No abstract text is available yet for this article.
October 2017: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/28665169/morgellons-disease-experiences-of-an-integrated-multidisciplinary-dermatology-team-to-achieve-positive-outcomes
#3
Padma Mohandas, Anthony Bewley, Ruth Taylor
BACKGROUND: In recent years, there has been a reported increase in affliction of the skin with small fibres or other particles. The condition has been referred to as Morgellons disease. Patients present with stinging, burning or crawling sensations of the skin, with perceived extrusion of inanimate material alongside fatigue and other systemic symptoms. Sufferers often experience significant morbidity and reduction in quality of life. OBJECTIVES: We aimed to explore the various clinical presentations, management strategies and outcomes employed to treat this condition in our patients...
June 30, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28392653/morgellons-disease
#4
Jungyoon Ohn, Seon Yong Park, Jungyoon Moon, Yun Seon Choe, Kyu Han Kim
Morgellons disease is a rare disease with unknown etiology. Herein, we report the first case of Morgellons disease in Korea. A 30-year-old woman presented with a 2-month history of pruritic erythematous patches and erosions on the arms, hands, and chin. She insisted that she had fiber-like materials under her skin, which she had observed through a magnifying device. We performed skin biopsy, and observed a fiber extruding from the dermal side of the specimen. Histopathological examination showed only mild lymphocytic infiltration, and failed to reveal evidence of any microorganism...
April 2017: Annals of Dermatology
https://www.readbyqxmd.com/read/28299553/history-of-morgellons-disease-the-same-name-for-different-psychodermatologic-diseases
#5
Bárbara Roque Ferreira, Maria Grazia Roccia, José Carlos Cardoso, Katlein França, Uwe Wollina, Torello Lotti, Massimo Fioranelli
"Morgellons disease" has been a controversial topic in the history of psychodermatology. The most consensual scientific opinion is that it is a primary psychiatric disorder, particularly, a delusional disorder, although others were also pointed out. Some authors have suggested that it may correspond to a common dermatosis with secondary psychopathology. The Morgellons Research Foundation has advocated that it is "an emerging infectious" entity. This paper intends to critically review the main ideas and controversies, since its first description...
October 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27789971/morgellons-disease-a-filamentous-borrelial-dermatitis
#6
REVIEW
Marianne J Middelveen, Raphael B Stricker
Morgellons disease (MD) is a dermopathy characterized by multicolored filaments that lie under, are embedded in, or project from skin. Although MD was initially considered to be a delusional disorder, recent studies have demonstrated that the dermopathy is associated with tickborne infection, that the filaments are composed of keratin and collagen, and that they result from proliferation of keratinocytes and fibroblasts in epithelial tissue. Culture, histopathological and molecular evidence of spirochetal infection associated with MD has been presented in several published studies using a variety of techniques...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27730047/morgellons-disease-a-myth-or-reality
#7
Nishita Ranka, Kiran Godse, Nitin Nadkarni, Sharmila Patil, Shweta Agarwal
No abstract text is available yet for this article.
September 2016: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/27269255/the-first-investigative-science-based-evidence-of-morgellons-psychogenesis
#8
Luca Roncati, Antonietta Morena Gatti, Teresa Pusiol, Francesco Piscioli, Giuseppe Barbolini, Antonio Maiorana
Morgellons disease is an infrequent syndromic condition, that typically affects middle-aged white women, characterized by crawling sensations on and under the skin, associated with itchy rashes, stinging sores, fiber-like filaments emerging from the sores, severe fatigue, concentrating difficulty, and memory loss. The scientific community is prone to believe that Morgellons is the manifestation of various psychiatric syndromes (Munchausen, Munchausen by proxy, Ekbom, Wittmaack-Ekbom). Up until now, no investigative science-based evidence about its psychogenesis has ever been provided...
September 2016: Ultrastructural Pathology
https://www.readbyqxmd.com/read/25879673/exploring-the-association-between-morgellons-disease-and-lyme-disease-identification-of-borrelia-burgdorferi-in-morgellons-disease-patients
#9
Marianne J Middelveen, Cheryl Bandoski, Jennie Burke, Eva Sapi, Katherine R Filush, Yean Wang, Agustin Franco, Peter J Mayne, Raphael B Stricker
BACKGROUND: Morgellons disease (MD) is a complex skin disorder characterized by ulcerating lesions that have protruding or embedded filaments. Many clinicians refer to this condition as delusional parasitosis or delusional infestation and consider the filaments to be introduced textile fibers. In contrast, recent studies indicate that MD is a true somatic illness associated with tickborne infection, that the filaments are keratin and collagen in composition and that they result from proliferation and activation of keratinocytes and fibroblasts in the skin...
2015: BMC Dermatology
https://www.readbyqxmd.com/read/25778952/exploring-the-association-between-morgellons-disease-and-lyme-disease-identification-of-borrelia-burgdorferi-in-morgellons-disease-patients
#10
Marianne J Middelveen, Cheryl Bandoski, Jennie Burke, Eva Sapi, Katherine R Filush, Yean Wang, Agustin Franco, Peter J Mayne, Raphael B Stricker
BACKGROUND: Morgellons disease (MD) is a complex skin disorder characterized by ulcerating lesions that have protruding or embedded filaments. Many clinicians refer to this condition as delusional parasitosis or delusional infestation and consider the filaments to be introduced textile fibers. In contrast, recent studies indicate that MD is a true somatic illness associated with tickborne infection, that the filaments are keratin and collagen in composition and that they result from proliferation and activation of keratinocytes and fibroblasts in the skin...
December 2015: BMC Dermatology
https://www.readbyqxmd.com/read/25192328/morgellons-disease-presenting-as-an-eyelid-lesion
#11
Rasanamar K Sandhu, Eric A Steele
Morgellons disease is characterized by complaints of uncomfortable skin sensations and fibers emanating from nonhealing skin lesions. Morgellons disease is well-known in the dermatology and psychiatry literature, where it is typically considered a subtype of delusional parasitosis, but it has not yet been described in the ophthalmology literature. A patient with self-reported Morgellons disease is presented, who was referred for evaluation of left lower eyelid ectropion. She reported that her skin was infested with fibers that were "trying to get down into the eyelid...
July 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25073260/a-case-report-highlighting-the-growing-trend-of-internet-based-self-diagnosis-of-morgellon-s-disease
#12
Gino Mortillaro, Christopher Rodgman, Erik Kinzie, Sarah Ryals
"Morgellon's Disease" is a term used to describe a bizarre condition characterized by the belief that strange sensations in the skin are due to filaments called "Morgellon's Bodies."' The focus of this case report is to inform readers of the growing incidence of this psychosomatic condition. Unfortunately, self-diagnosis has become increasingly common because of the widespread coverage on the Internet. While the validity of the diagnosis is in question, the impact on patient's lives is real, often debilitating, and bears more examination...
November 2013: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/24715950/association-of-spirochetal-infection-with-morgellons-disease
#13
Marianne J Middelveen, Divya Burugu, Akhila Poruri, Jennie Burke, Peter J Mayne, Eva Sapi, Douglas G Kahn, Raphael B Stricker
Morgellons disease (MD) is an emerging multisystem illness characterized by skin lesions with unusual filaments embedded in or projecting from epithelial tissue. Filament formation results from abnormal keratin and collagen expression by epithelial-based keratinocytes and fibroblasts. Recent research comparing MD to bovine digital dermatitis, an animal infectious disease with similar skin features, provided clues that spirochetal infection could play an important role in the human disease as it does in the animal illness...
2013: F1000Research
https://www.readbyqxmd.com/read/24671866/information-consent-and-treatment-of-patients-with-morgellons-disease-an-ethical-perspective
#14
Ylva Söderfeldt, Dominik Groß
Morgellons is a medically contested diagnosis with foremost dermatological symptoms. Patients experience fibers emerging from the skin, together with a range of other somatic, psychiatric, and neurological complaints. Within the medical community, it is generally held to be a variation of delusional parasitosis/delusional infestation, which is usually treated with antipsychotics. Little attention has been paid in the literature to the ethical aspects of treating patients with Morgellons disease. The communicative strategies suggested in the literature display significant ethical issues, primarily the use of therapeutic privilege, i...
April 2014: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/23885516/variable-clinical-presentations-of-secondary-delusional-infestation-an-experience-of-six-cases-from-a-psychodermatology-clinic
#15
Ilknur K Altunay, Bilge Ates, Sibel Mercan, Gulsen Tukenmez Demirci, Semra Kayaoglu
OBJECTIVE: Delusional Infestation (DI) is a relatively rare condition with a fixed belief of being infested with living organisms, despite a lack of medical evidence of such infestation. Although it seems to be a psychiatric disease, patients commonly are admitted to dermatology clinics because of skin findings. Psychiatrists can underestimate its prevalance, whereas dermatologists can miss the diagnosis. It should be managed as a psychodermatological disease. Our aim in the study was to evaluate six patients with different clinical presentations of DI and to emphasize some clinical features...
2012: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/23328363/-morgellons-syndrome-a-disease-transmitted-via-the-media
#16
L Misery
No abstract text is available yet for this article.
January 2013: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/23326202/characterization-and-evolution-of-dermal-filaments-from-patients-with-morgellons-disease
#17
Marianne J Middelveen, Peter J Mayne, Douglas G Kahn, Raphael B Stricker
Morgellons disease is an emerging skin disease characterized by formation of dermal filaments associated with multisystemic symptoms and tick-borne illness. Some clinicians hypothesize that these often colorful dermal filaments are textile fibers, either self-implanted by patients or accidentally adhering to lesions, and conclude that patients with this disease have delusions of infestation. We present histological observations and electron microscopic imaging from representative Morgellons disease samples revealing that dermal filaments in these cases are keratin and collagen in composition and result from proliferation and activation of keratinocytes and fibroblasts in the epidermis...
2013: Clinical, Cosmetic and Investigational Dermatology
https://www.readbyqxmd.com/read/23245971/psychosomatic-factors-in-pruritus
#18
Hong Liang Tey, Joanna Wallengren, Gil Yosipovitch
Pruritus and psyche are intricately and reciprocally related, with psychophysiological evidence and psychopathological explanations helping us to understand their complex association. Their interaction may be conceptualized and classified into 3 groups: pruritic diseases with psychiatric sequelae, pruritic diseases aggravated by psychosocial factors, and psychiatric disorders causing pruritus. Management of chronic pruritus is directed at treating the underlying causes and adopting a multidisciplinary approach to address the dermatologic, somatosensory, cognitive, and emotional aspects...
January 2013: Clinics in Dermatology
https://www.readbyqxmd.com/read/22545320/new-findings-in-delusions-of-parasitosis
#19
Michael J Fellner
Two new cases are presented with delusions of parasitosis. Both were women, one middle-aged and one elderly, and exhibited classic symptoms of parasites and "strings" in the skin indicative of Morgellons disease. Each had an additional psychiatric disorder: drug addiction to cocaine and senile dementia. They also illustrate the difficulty encountered by the dermatologist in providing adequate therapy because of resistance to psychiatric referral as well as to standard accepted medication. Newer psychotropics, such as risperdal and lexapro, show promise in helping these patients and add to the therapeutic armamentarium of pimozide...
March 2012: Skinmed
https://www.readbyqxmd.com/read/22458994/delusional-infestation-is-typically-comorbid-with-other-psychiatric-diagnoses-review-of-54-patients-receiving-psychiatric-evaluation-at-mayo-clinic
#20
Sara A Hylwa, Ashley A Foster, Jessica E Bury, Mark D P Davis, Mark R Pittelkow, J Michael Bostwick
OBJECTIVE: Delusional infestation, which encompasses both delusions of parasitosis and delusions of infestation with inanimate objects (sometimes called Morgellons disease), has been said to represent a distinct and encapsulated delusion, that is, a stand-alone diagnosis. Anecdotally, we have observed that patients with delusional infestation often have one or more psychiatric comorbid conditions and that delusional infestation should not be regarded as a stand-alone diagnosis. The purpose of this study was to identify whether patients with delusional infestation have psychiatric comorbid conditions...
May 2012: Psychosomatics
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