Skin Deep - Clinical & Cosmetic Dermatology Blog

Skin Deep is a blog for dermatologists and skin care professionals with focus on theoretical, cosmetic and aesthetic dermatology. This blog is associated with ‘Dermatologists Sans Borders’ one of the largest curated groups of skin care professionals on facebook. If you are looking for non-technical information, please visit

Delusion of Parasitosis

Delusion of Parasitosis
Today a patient came to me with the typical history of Delusion of Parasitosis. He thinks that his middle ear cavity is infested with insects. He has already consulted many Dermatologists and ENT surgeons. Many of them have suggested psychiatric evaluation which the patient has vehemently declined. Textbooks say that the doctor should take a neutral stand neither accepting his delusion thereby reinforcing it nor out rightly rejecting the delusion which will antagonize the patient. I wrote the diagnosis down on a piece of paper and told him to go to the internet and study about the condition. If he returns to me, I will refer him to a psychiatrist. Drugs like pimozide are controlled in this country. It is difficult for a dermatologist to start such medications.

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About Me

As a Dermatologist and Informatician my research mainly involves application of bioinformatics techniques and tools in dermatological conditions. However my research interests are varied and I have publications in areas ranging from artificial intelligence, sequence analysis, systems biology, ontology development, microarray analysis, immunology, computational biology and clinical dermatology. I am also interested in eHealth, Health Informatics and Health Policy.


Bell Raj Eapen
Hamilton, ON