Formication
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A sensation of insects crawling on or under the skin
Formication[edit | edit source]
Formication is a specific type of tactile hallucination that involves the sensation of insects crawling on or under the skin. This phenomenon is often described as a feeling of "pins and needles" or "creepy-crawlies" and can be associated with a variety of medical conditions and psychological states.
Causes[edit | edit source]
Formication can be caused by several factors, including:
- Neurological disorders such as multiple sclerosis or peripheral neuropathy.
- Substance use disorders, particularly with drugs such as methamphetamine or cocaine.
- Menopause, due to hormonal changes affecting the skin.
- Psychiatric conditions like delusional parasitosis or severe anxiety disorders.
- Skin conditions such as scabies or dermatitis.
Symptoms[edit | edit source]
The primary symptom of formication is the sensation of insects crawling on or under the skin. This can lead to:
- Intense itching or scratching.
- Skin lesions or sores from excessive scratching.
- Anxiety or distress due to the persistent sensation.
Diagnosis[edit | edit source]
Diagnosing formication involves a thorough medical history and physical examination. Healthcare providers may consider:
- Reviewing the patient's medication and substance use history.
- Conducting neurological examinations to rule out underlying disorders.
- Evaluating psychological health to identify any psychiatric conditions.
Treatment[edit | edit source]
Treatment for formication depends on the underlying cause. Options may include:
- Discontinuing or changing medications that may be causing the sensation.
- Treating any underlying skin conditions.
- Addressing substance use issues through rehabilitation programs.
- Providing psychological support or therapy for associated mental health conditions.
Prognosis[edit | edit source]
The prognosis for individuals experiencing formication varies based on the underlying cause. With appropriate treatment, many individuals can find relief from symptoms. However, chronic conditions may require ongoing management.
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