作者报告1例寄生虫病妄想患者,男性;63岁,高加索人,3年来全身皮肤有爬行感和刺叮感。抱怨皮肤上有看不见的小昆虫,每当洗澡擦拭皮肤时,在浴盆内即可见有“小昆虫”。声称昆虫大量可见,无体,肢参差不齐。主诉于行冠状动脉旁路手术前2周,此症状突然发生。但其妻说是手术之日发生上述症状。患者有长期异位性皮炎和糖尿病史,3年 The authors report 1 paranoid delusion patients, male; 63 years old, Caucasian, three years of body skin crawling and sting feeling. Complaining that there are invisible insects on the skin, “small insects” can be seen in the bathtub whenever a bath wipes the skin. Insects claimed a large number of visible, bodyless, limbs uneven. The chief complaint was coronary artery bypass surgery 2 weeks before the sudden onset of this symptom. But his wife said the above symptoms occurred on the day of surgery. Patients have long-term history of atopic dermatitis and diabetes, 3 years