Ekbom’s syndrome in a bipolar disorder patient: a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por eng spa |
Título da fonte: | Debates em Psiquiatria (Online) |
Texto Completo: | https://revistardp.org.br/revista/article/view/213 |
Resumo: | Introduction: Ekbom syndrome is a rare condition in which the patient believes that his or her body is infested by worms or other parasites.This condition is associated to mental ilness in 81% of cases. There is not a final statement about the best psychofarmacological treatment of this condition. Objective: The present study presents a case report on which an elderly woman with bipolar disorder has shown Ekbom syndrome. Method: This study lists a case report of a 69 yerar-old woman with bipolar disorder. This patient had presented the belief that worms were walking under her skin during the past few months. She had a previous diagnosis of bipolar disorder. Depressive symptoms were intense. The patient was followed up in an outpatient psychiatric service for 120 days. Lurasidone was introduced and some drugs were discontinued. Result: One month after starting treatment with lurasidone, there was a significant improvement of delusional beliefs of Ekbom syndrome. Such improvement was associated with the improvement of the bipolar depressive condition in this case. Conclusion: Ekbom syndrome is a rare kind of delusion. Its etiology is not fully understood. We presented a case of an elderly woman with previous diagnosis of bipolar disorder with Ekbom syndrome. To our knowledge, there are no other case reports informing the use of lurasidone in bipolar depression associated with Ekbom syndrome. |
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Ekbom’s syndrome in a bipolar disorder patient: a case reportSíndrome de Ekbom en paciente com trastorno bipolar: relato de casoSíndrome de Ekbom em uma paciente com transtorno bipolar: relato de casodelusional parasitosisbipolar disorderslurasidonedelírio de parasitosetranstornos bipolareslurasidonadelírio parasitáriotrastornos bipolareslurasidonaIntroduction: Ekbom syndrome is a rare condition in which the patient believes that his or her body is infested by worms or other parasites.This condition is associated to mental ilness in 81% of cases. There is not a final statement about the best psychofarmacological treatment of this condition. Objective: The present study presents a case report on which an elderly woman with bipolar disorder has shown Ekbom syndrome. Method: This study lists a case report of a 69 yerar-old woman with bipolar disorder. This patient had presented the belief that worms were walking under her skin during the past few months. She had a previous diagnosis of bipolar disorder. Depressive symptoms were intense. The patient was followed up in an outpatient psychiatric service for 120 days. Lurasidone was introduced and some drugs were discontinued. Result: One month after starting treatment with lurasidone, there was a significant improvement of delusional beliefs of Ekbom syndrome. Such improvement was associated with the improvement of the bipolar depressive condition in this case. Conclusion: Ekbom syndrome is a rare kind of delusion. Its etiology is not fully understood. We presented a case of an elderly woman with previous diagnosis of bipolar disorder with Ekbom syndrome. To our knowledge, there are no other case reports informing the use of lurasidone in bipolar depression associated with Ekbom syndrome.Introducción: El síndrome de Ekbom es una condición poco común en la que el paciente cree que su cuerpo está infestado de gusanos u otros parásitos. Esta condición se asocia con enfermedad mental en el 81% de los casos. No existe consenso sobre el tratamiento farmacológico más adecuado para tratar esta patología. Objetivo: O presente estudio presenta un caso clínico en el que una anciana con trastorno bipolar presentó síndrome de Ekbom tratada con lurasidona. Método: Este estudio relata un caso clínico de una mujer de 69 años con diagnóstico previo de trastorno bipolar. Esta paciente había mostrado la creencia de que los gusanos habían estado caminando bajo su piel durante los últimos meses. Los síntomas depresivos fueron intensos. El paciente fue seguido en un ambulatorio psiquiátrico durante 120 días. Se introdujo la lurasidona y se suspendieron algunos medicamentos. Resultado: Un mes después de comenzar el tratamiento con lurasidona, hubo una mejora significativa en las creencias delirantes del síndrome de Ekbom. Esta mejora se asoció con una mejora en la condición depresiva bipolar en este caso. Conclusión: el síndrome de Ekbom es un tipo de delirio poco común. Su etiología no se comprende completamente. Presentamos el caso de una anciana con diagnóstico previo de trastorno bipolar con síndrome de Ekbom. Hasta donde sabemos, no hay otros informes de casos que informen el uso de lurasidona en la depresión bipolar asociada con el síndrome de Ekbom.Introdução: Síndrome de Ekbom é uma condição rara na qual o paciente acredita ter seu corpo infestado por vermes ou outros parasitas. Essa condição está associada a doenças mentais em 81% dos casos. Não existe um consenso sobre qual o tratamento farmacológico mais adequado para tratar essa condição. Objetivo: O presente estudo apresenta um relato de caso no qual uma mulher idosa com transtorno bipolar apresentou a síndrome de Ekbom. Método: Esse estudo lista um relato de caso de uma mulher de 69 anos com transtorno bipolar. Essa paciente havia apresentado a crença de que vermes andavam sob sua pele nos últimos meses. Havia diagnóstico prévio de transtorno bipolar. Os sintomas depressivos eram intensos. A paciente foi acompanhada em ambulatório de psiquiatria por 120 dias. A lurasidona foi introduzida e alguns medicamentos foram descontinuados. Resultado: Um mês após o início do tratamento com lurasidona, houve uma melhora significativa das crenças delirantes da síndrome de Ekbom. Essa melhora foi associada à melhora do quadro depressivo bipolar neste caso. Conclusão: A síndrome de Ekbom é um tipo raro de delírio. Sua etiologia não é totalmente compreendida. Apresentamos o caso de uma idosa com diagnóstico prévio de transtorno bipolar com síndrome de Ekbom. Até onde sabemos, não há relatos de outros casos informando o uso de lurasidona na depressão bipolar associada à síndrome de Ekbom.Associação Brasileira de Psiquiatria2021-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://revistardp.org.br/revista/article/view/21310.25118/2763-9037.2021.v11.213Debates in Psychiatry; Vol. 11 (2021): Publicação Contínua a partir de set/2021; 1-7Debates em Psiquiatria; Vol. 11 (2021): Publicação Contínua a partir de set/2021; 1-7Debates em Psiquiatria; v. 11 (2021): Publicação Contínua a partir de set/2021; 1-72763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporengspahttps://revistardp.org.br/revista/article/view/213/247https://revistardp.org.br/revista/article/view/213/248https://revistardp.org.br/revista/article/view/213/249https://revistardp.org.br/revista/article/view/213/252Copyright (c) 2021 Filipe Freitas, Mateus Arruda Aleixohttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessFreitas, Filipe Augusto Cursino deAleixo, Mateus Arruda2023-06-21T23:57:18Zoai:ojs.emnuvens.com.br:article/213Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2023-06-21T23:57:18Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Ekbom’s syndrome in a bipolar disorder patient: a case report Síndrome de Ekbom en paciente com trastorno bipolar: relato de caso Síndrome de Ekbom em uma paciente com transtorno bipolar: relato de caso |
title |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
spellingShingle |
Ekbom’s syndrome in a bipolar disorder patient: a case report Freitas, Filipe Augusto Cursino de delusional parasitosis bipolar disorders lurasidone delírio de parasitose transtornos bipolares lurasidona delírio parasitário trastornos bipolares lurasidona |
title_short |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
title_full |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
title_fullStr |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
title_full_unstemmed |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
title_sort |
Ekbom’s syndrome in a bipolar disorder patient: a case report |
author |
Freitas, Filipe Augusto Cursino de |
author_facet |
Freitas, Filipe Augusto Cursino de Aleixo, Mateus Arruda |
author_role |
author |
author2 |
Aleixo, Mateus Arruda |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Freitas, Filipe Augusto Cursino de Aleixo, Mateus Arruda |
dc.subject.por.fl_str_mv |
delusional parasitosis bipolar disorders lurasidone delírio de parasitose transtornos bipolares lurasidona delírio parasitário trastornos bipolares lurasidona |
topic |
delusional parasitosis bipolar disorders lurasidone delírio de parasitose transtornos bipolares lurasidona delírio parasitário trastornos bipolares lurasidona |
description |
Introduction: Ekbom syndrome is a rare condition in which the patient believes that his or her body is infested by worms or other parasites.This condition is associated to mental ilness in 81% of cases. There is not a final statement about the best psychofarmacological treatment of this condition. Objective: The present study presents a case report on which an elderly woman with bipolar disorder has shown Ekbom syndrome. Method: This study lists a case report of a 69 yerar-old woman with bipolar disorder. This patient had presented the belief that worms were walking under her skin during the past few months. She had a previous diagnosis of bipolar disorder. Depressive symptoms were intense. The patient was followed up in an outpatient psychiatric service for 120 days. Lurasidone was introduced and some drugs were discontinued. Result: One month after starting treatment with lurasidone, there was a significant improvement of delusional beliefs of Ekbom syndrome. Such improvement was associated with the improvement of the bipolar depressive condition in this case. Conclusion: Ekbom syndrome is a rare kind of delusion. Its etiology is not fully understood. We presented a case of an elderly woman with previous diagnosis of bipolar disorder with Ekbom syndrome. To our knowledge, there are no other case reports informing the use of lurasidone in bipolar depression associated with Ekbom syndrome. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-Reviewed Revisado por Pares Avaliado Pelos Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistardp.org.br/revista/article/view/213 10.25118/2763-9037.2021.v11.213 |
url |
https://revistardp.org.br/revista/article/view/213 |
identifier_str_mv |
10.25118/2763-9037.2021.v11.213 |
dc.language.iso.fl_str_mv |
por eng spa |
language |
por eng spa |
dc.relation.none.fl_str_mv |
https://revistardp.org.br/revista/article/view/213/247 https://revistardp.org.br/revista/article/view/213/248 https://revistardp.org.br/revista/article/view/213/249 https://revistardp.org.br/revista/article/view/213/252 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Filipe Freitas, Mateus Arruda Aleixo https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Filipe Freitas, Mateus Arruda Aleixo https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Debates in Psychiatry; Vol. 11 (2021): Publicação Contínua a partir de set/2021; 1-7 Debates em Psiquiatria; Vol. 11 (2021): Publicação Contínua a partir de set/2021; 1-7 Debates em Psiquiatria; v. 11 (2021): Publicação Contínua a partir de set/2021; 1-7 2763-9037 2236-918X reponame:Debates em Psiquiatria (Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
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Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Debates em Psiquiatria (Online) |
collection |
Debates em Psiquiatria (Online) |
repository.name.fl_str_mv |
Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
rdp@abp.org.br |
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1796798364846653440 |