TY - JOUR KW - Flea infestations KW - Delusional infestation AU - Bhushan P AU - Thatte S AU - Kalra K AB -

Letter to the Editor / bservation Letter / Case study:

In a typical clinical vignette, patients of delusion of parasitosis or delusional infestation present with "evidence of parasites" collected in a container. This "matchbox sign" or "specimen sign" is useful to make the diagnosis, with a proviso that the material presented to the physician has been carefully examined and found to be normal skin pieces or extraneous material. [1]

A 26-year-old, unmarried female presented with a 20 days history of pruritus over legs, arms, and abdomen and a feeling of insects crawling all over her body. Except for a few excoriation marks, she had no other signs on the skin. [..]

The patient had a pet cat which ran away about a month back for 5 days and she correlated her symptoms to the cat's return. She was treated with antihistamines and calamine and advised to take her cat to a veterinary physician and contact a pest control agency for flea control at home. After 1 week, her symptoms had subsided completely.

BT - Indian journal of dermatology, venereology and leprology C1 -

http://www.ncbi.nlm.nih.gov/pubmed/26261135?dopt=Abstract

DO - 10.4103/0378-6323.162321 IS - 5 J2 - Indian J Dermatol Venereol Leprol LA - eng N2 -

Letter to the Editor / bservation Letter / Case study:

In a typical clinical vignette, patients of delusion of parasitosis or delusional infestation present with "evidence of parasites" collected in a container. This "matchbox sign" or "specimen sign" is useful to make the diagnosis, with a proviso that the material presented to the physician has been carefully examined and found to be normal skin pieces or extraneous material. [1]

A 26-year-old, unmarried female presented with a 20 days history of pruritus over legs, arms, and abdomen and a feeling of insects crawling all over her body. Except for a few excoriation marks, she had no other signs on the skin. [..]

The patient had a pet cat which ran away about a month back for 5 days and she correlated her symptoms to the cat's return. She was treated with antihistamines and calamine and advised to take her cat to a veterinary physician and contact a pest control agency for flea control at home. After 1 week, her symptoms had subsided completely.

PY - 2015 SP - 507 EP - 509 T2 - Indian journal of dermatology, venereology and leprology TI - Matchbox sign: Look before you label! UR - http://www.ijdvl.com/article.asp?issn=0378-6323;year=2015;volume=81;issue=5;spage=507;epage=509;aulast=Bhushan VL - 81 SN - 0973-3922 ER -