First published 2/19/11 on Neuroskeptic
“Mr. A” was a 43-year-old man…His most pressing medical complaint was worrisome fatigue. He was not depressed…had no formal psychiatric history, no family psychiatric history, and he was a successful businessman.
He was referred to the psychiatry department by his primary-care physician (PCP) because of a 2-year-long complaint of pruritus [itching] accompanied by the belief of being infested with parasites. Numerous visits to the infectious disease clinic and an extensive medical work-up…had not uncovered any medical disorder, to the patient’s great frustration.