El delirio de parasitosis es un trastorno psicocutáneo caracterizado por la presencia de una convicción delirante de parasitación en el paciente. Se presenta el caso clínico de una mujer diagnosticada de síndrome de Ekbom, secundario al consumo de cocaína, que presentó una buena respuesta clínica al tratamiento con olanzapina. Para el tratamiento del delirio de parasitosis es fundamental el trabajo multidisciplinar junto a psiquiatría, así como el establecimiento de un estrecho vínculo terapéutico con el paciente. (AU)
Delusional infestation is a psycho-cutaneous disorder in which sufferers have a fixed belief of parasitization.A case report of a woman diagnosed with delusional infestation secondary to cocaine use is presented, with a good clinical response to treatment with olanzapine. For the treatment of delusional infestation, multidisciplinary work with psychiatry is essential, as well as the establishment of a strong therapeutic rapport with the patient. (AU)
Humans , Female , Middle Aged , Cocaine , Restless Legs Syndrome , Parasitic Diseases , Olanzapine , Psychiatry
El trastorno bipolar (TB) es uno de los trastornos psiquiátricos con mayor tasa de heredabilidad, no solo de trastorno bipolar, sino también de otros trastornos afectivos, incluyendo el trastorno ciclotímico (TC). Es por ello que resulta de máxima importancia la detección temprana de trastornos afectivos en la descendencia. Presentamos el caso de una adolescente de 16 años con antecedentes de primer grado de TB Tipo I, que es remitida a nuestra unidad ante la presencia de sintomatología afectiva para estudio y tratamiento. (AU)
Bipolar Disorder (BP) is one of the psychiatric disorders with a higher heritability rate, not only of bipolar disorder, but other forms of affective and mood disorders as well, including cyclothymic disorder (CD). Given this information, early detection in young descendants seems of the utmost importance. We present de clinical case of a 16 years old female, with a first-degree relative affected by BD Type I, referred to our unit given the presence of affective symptoms, for its study and treatment. (AU)
Humans , Female , Adolescent , Cyclothymic Disorder , Bipolar Disorder , Psychiatry , Therapeutics , Patients
To date, there are no disease-specific instruments in Spanish to assess quality of life of patients with hidradenitis suppurativa. A multicentre study was previously carried out in Spain between 2016 and 2017 to develop the Hidradenitis Suppurativa Quality of Life-24 (HSQoL-24), a disease-specific questionnaire to assess quality of life in patients with hidradenitis suppurativa. The objectiv-es of this study are to revalidate the HSQoL-24 in Spanish with a larger sample of patients, and to present the English version. In this multi-centre study in Spain, patients with hidradenitis suppurativa completed the HSQoL-24, the Dermatology Life Quality Index and the Skindex-29. The Hurley staging system was used to assess the severity of the disease. Validation of the questionnaire was carried out in 130 patients, of whom 75 (57.7%) were women. This study demonstrates adequate values of reliability and validity of the HSQoL-24, confirming the previous test re-test validation and making this questionnaire one of wide clinical validity in terms of results perceiv-ed by patients.
Hidradenitis Suppurativa , Quality of Life , Female , Hidradenitis Suppurativa/diagnosis , Humans , Reproducibility of Results , Severity of Illness Index , Surveys and Questionnaires
Introducción: El propósito de este trabajo es la realización de una revisión sistemática de los estudios sobre depresión incidente en población mayor y los factores de riesgo asociados. Material y métodos Búsqueda exhaustiva en varias bases de datos bibliográficas de lengua inglesa y española. Inclusión de estudios longitudinales en población general mayor de 65años que analicen depresión incidente e incluyan el estudio de uno o más factores de riesgo. Resultados Se encontraron un total de 7.009 artículos, de los cuales 28 cumplieron todos los criterios de inclusión. La incidencia media de depresión en mayores fue del 9,78%. Los factores de riesgo más consistentes de depresión incidente en esta población son los relacionados con los factores cardiovasculares. Conclusión Son necesarios futuros estudios que permitan profundizar en el estudio de otros factores, así como el desarrollo de estrategias preventivas basadas en el control de los factores de riesgo y la promoción de factores protectores. (AU)
Introduction: The purpose of this work is to carry out a systematic review of the studies on incident depression in the elderly population and associated risk factors. Material and methods Comprehensive search in several bibliographic databases in English and Spanish. Inclusion of longitudinal studies in the general population over 65years of age, which analyze incident depression, and include the study of one or more risk factors. Results A total of 7,009 articles were found, 28 met all the inclusion criteria. The mean incidence of depression in the elderly was 9.78%. The most consistent risk factors for incident depression in this population are those related to cardiovascular factors. Conclusion Future studies are necessary that allow to deepen the study of other factors, as well as the development of preventive strategies based on the control of risk factors and the promotion of protective factors. (AU)
Humans , Aged , Risk Factors , Depression , Cardiovascular Diseases
