The Slightly Delusional Patient

  • Tien V. Nguyen
  • Jillian W. Wong
  • John Koo
Part of the Clinical Cases in Dermatology book series (CLIDADE)


Mrs. Wang is a 69 year-old Asian American woman presenting with a chief complaint of being “infested with parasites” for the past 5 months. She described crawling, stinging and biting sensations that occurred spontaneously all over her body. There were a few plastic zip-lock bags containing what she believes to the parasites and their eggs. From her expressions and demeanor, the patient appeared deeply worried about and quite preoccupied with her infestation. However, upon further questioning Mrs. Wang stated that she was not entirely convinced about the existence of live organisms in her skin. She was open to other explanations, but above all, just wanted to receive a good treatment.


Public Health Medical Therapy Live Organism Good Treatment American Woman 
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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Tien V. Nguyen
    • 1
  • Jillian W. Wong
    • 2
  • John Koo
    • 3
  1. 1.Department of DermatologyUniversity of New MexicoAlbuquerqueUSA
  2. 2.Department of DermatologyUniversity of CaliforniaDavis SacramentoUSA
  3. 3.Department of DermatologyUniversity of CaliforniaSan FranciscoUSA

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