Observations of Patients with Skin Parasites.

1. Most patients will have sought care from multiple medical care providers. A large number will have been diagnosed with Delusional Parasitosis likely because of the juxtaposition of unexplained skin lesions and sensations and psychiatric overlay. Unfortunately, almost none will have received an appropriate diagnostic physical examination (particularly a microscopic or biopsy examination of lesions), but will have been diagnosed by history alone with grossly incomplete observation.

2. Most of these patients feel abandoned by the traditional medical care system and have sought alternative care providers or have self medicated, seriously compounding an already difficult medical situation. From laboratory to other diagnostic evaluation to date, there have been no formal laboratory or imaging studies done in this patient group.There are some reasonably consistent clinical findings, however, that need further examination, in controlled studies, to be corroborated or refuted.