Ekbom Syndrome : causes, symptoms, diagnosis, treatment

Ekbom Syndrome is a psychological disease characterized by a patient’s belief that he or she is infested by parasites, often called illusionary parasitosis. 

The Swedish neurologist, Karl-Axel Ekbom, first identified delusional parasites as ‘pre-senile infested delusion’ in 1937. At that time, the traditional name has changed a lot.

Ekbom used dermatan zoen, but the term Ekbom syndrome has been used by other nations. This word was disappointing because of the restless leg syndrome.

Other names referred to as “phobia” were denied because the signs are not characteristic of anxiety illness. In the Germanic literature, researchers, H Miller and the J Wilson and identified the variety of circumstances, and 2009, the eponymous Ekbom disease was transformed to ‘parasitosis delusion.


The founders of the Morgellons Science Foundation Mary Leitao invented Morgellons in 2002 and got it back alive in the middle of the 1800s through a letter from a surgeon.

 Leitao and other creators successfully lobbied US representatives. U.S. and Congress Disease Care and Preventive Centers (CDC) in 2006 to examine the case. In January 2012, the CDC released the findings of its multiannual report.

 The Shlomi released another 2013 survey of what he terms a research misconduct as he claimed that photo manipulation of a match box was the reason for alleging people with DP infested with collembola.

Ekbom syndrome or delusional parasitosis is characterized by; delusion in which a person wrongly assumes that parasites infest them.

  • formational symptoms; bug feeling rampant under the skin

Signs like matchbox sign – also involuntarily collects thin skin or fiber, which they mistake as signs of infestation. This ‘proof’ is kept by patients in matchboxes for showing doctors.

Self-mutilation – Patients may have self-inflicted acne marks such as skin excoriation, burn marks, and scabs.

Moreover, patients may be highly resistant to suggest that their conditions may have a psychological origin. The unfounded fear of tiny bugs is acarophobia but – The fear of heights is acrophobia.

Deceptive parasitosis is diagnosed after the delusion has been continued over a period of one month, or more, which is the only symptom, of hysteria and delusion—which cannot adequately be clarified through another disorder.

 Few people with the disorder accept medication readily because they do not understand the disease as an illusion. Medications against anti-psychotics have a treatment whereas cognitive antidepressants as well as counseling should be utilized to relieve the signs.

This disease remains unusual as well as occurs two times as much in females as in male. The condition has an estimated age of fifty-seven.

Causes Ekbom Syndrome

It is unclear whether parasitoids are delusional. It might be attributed to extra dopamine into the mind striatum, which is the product of reduced DOT activity that controls the re-uptake of dopamine in the brain.

 The dopamine hypothesis shows that drugs that block the reuptake of dopamine are believed to produce signs of forming. These diseases also have a diminished activity of the DAT.

 Additional research suggests that antipsychotics can enhance DP symptoms when they affect the transmission of dopamine.

Symptoms of Ekbom Syndrome

Morgellons can be defined as the type of illusionary parasitosis where the person who is diagnosed with painful skin sensations assumes to contain different kinds of fiber; its involvement is identical to other misconceptions.

 but people who are diagnosed with it often assume that sequences and fibers are appeared in skin lesions.

Delusory cleptoparasitosisisa type is the illusion of parasitosis, in which the organism assumes that the invasion is into his or her home and not in his or her body.

Many with psychotic Parasitosis assume that they have been infected by ” worms, parasites, mites, fungus bacteria, ” or some other alive object.

Details differ between those with the disease, but it generally presents itself as a creeping feeling, sometimes defined as containing perceptive parasites that crawl or squirt through the skin, often associated with an actual physical sensation (known as formication).

 In efforts to get rid of the “parasites” patients can injure themselves; the skin damage caused involves excoriation, bruises and cuts and damage caused by the use of chemicals and obsessive washing routines.

This performance is called the ‘sign of matchbox’ or the ‘specimen symbol’ since sometimes the ‘proof’ is seen in a small box like a match’s box. In five to eight of every ten individuals with DP, the match box sign is visible.

This is a “digital specimen sign” in which people log the state of their photograph collections.

Related delusions can occur in near relatives—a normal disease known as insanity in two—this happens in 5 to 15% of cases and is seen as a common psychotic illness. DP is sometimes named “folie-à-Internet.”

 Owing to the reality that the internet and the media lead to mutual illusions, its manifestations usually decline, but the majority also require care.

Diagnosis of Ekbom Syndrome

Delusional parasitosis can be diagnosed because perception is only the manifestation of neurosis; the illusion has persisted for one month or more; behavior is never substantially abnormal or affected, moody illnesses.

if any at all times –are relatively short and no other psychiatric illness, neurological illness or effects of a drug could help justify the delusion.

 The individual must attribute the conviction that they have an infestation to irregular feeling of the skin, to be persuaded that even though proof indicates that they do not have an infestation.

Two types of condition are recognized: primary and secondary. The visions are the only symptom of a psychological illness of primary illusory parasitosis.

Secondary delusional parasitosis takes place when a psychological, medical, or therapeutic (medical or recreational) disease induces signs other than the disorder itself; in these cases, distortion is a symptom of a different condition.

 In addition, manifestations of the DP may be or organic (by another infectious disorders or biological illness) practical (mainly psychiatric).

Examining other causes is important to diagnose. Examination Skin exam and laboratory tests exclude parasitic infestations. As a result of continually handling the skin, bacterial infections may be present.

Treatment of Ekbom Syndrome

No trials compared available therapies with placebo have been performed since 2019. Low doses of antipsychotic drugs are the only therapy that gives a solution and the most effective treatment.

Often helpful can be cognitive compartmental therapy (CBT). The drug of choice is risperidone. For several years pimozide was the medication of choice, although the side effects are stronger than newer antipsychotics.

Aripiprazole and ziprasidone are efficient for delusionary parasites but not well examined. Olanzapine also functions. Both of them are taken at the lower dose and steadily raised until the signs are present.

People with this disorder frequently deny medically prescribed parasites of illusion and, despite its demonstrable effectiveness, few people voluntarily pursue medication, finding it impossible to cope with the illness.

 It is typically futile to convince patients with DP that there is no proof of an infestation and the patient may deny it.

Since patients who have DP normally see several doctors in various specialties and experience the symptoms of loneliness and distress, confidence and communication with other doctors are crucial aspects of the care.

 Dermatologists may excel further in incorporating medicine as a method of minimizing itching pain. Facing people personally with illusions is unhelpful, since the deceptions are impossible to change by definition; the confrontation of convictions through CBT is done in those who have a psychotherapy perspective.

Psychotherapeutic help is clearly required in order to treat Ekbom syndrome; however, the most difficult thing is to persuade the patient to see a doctor and not to get parasites.

The cause of this condition is not completely understood: hallucinations or myths concerning scratching may be induced. Anti-psychotic treatments are improved.

A drug of choice is pimozide, but a greater side-effect history also ensures that atypical antipsychotic products such as risperidone are employed. Just half of the cases with antipsychotic care receive full remission.

A recent publication identified an event that was tried but did not support anti-Helminthics. Due to other kinds of delirium, including body smell or halitosis, illusional parasitosis is the most prevalent form of hypochondriatic psychosis.

Prognosis of Ekbom Syndrome

Ekbom disorder is an elective determination for ectoparasites just as constant pruritus and prurigo. To treat Ekbom disorder, psychotherapy support is obviously required, however, the most troublesome part is persuading the patient of the shortfall of parasites and getting their consent to see a specialist.

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