Mr. Northwood is a 25 year-old Caucasian man, who presented with a chief complaint of being infested by “bugs.” He reported intense, bothersome sensations of crawling, stinging, and biting, which were felt frequently all over this body. He otherwise had a clean bill of health and denied any psychological stress or emotional issues. Upon further questioning, he admitted to regular, heavy use of cocaine for the past 2 years. After he had started experimenting with cocaine, he started to notice these symptoms, which were tolerable at the time. However, the sensations progressively worsened to the point where he could no longer resist the urge to scratch or to pick at his skin. His general practitioner could not determine the cause, and as a result, referred him to your psychodermatology clinic for help.
- Chief Complaint
- Recreational Drug
- Cocaine User
- Chronic Drug
- Emotional Issue
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Brewer JD, Meves A, Bostwick JM, Hamacher KL, Pittelkow MR. Cocaine abuse: dermatologic manifestations and therapeutic approaches. J Am Acad Dermatol. 2008;59(3):483–7.
Elpern DJ. Cocaine abuse and delusions of parasitosis. Cutis. 1988;42(4):273–4.
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Nguyen, T.V., Wong, J.W., Koo, J. (2014). Drug-Induced Formication and Delusions of Parasitosis. In: Clinical Cases in Psychocutaneous Disease. Clinical Cases in Dermatology. Springer, London. https://doi.org/10.1007/978-1-4471-4312-3_15
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4311-6
Online ISBN: 978-1-4471-4312-3