BÁO CÁO CA BỆNH: HỘI CHỨNG EKBOM

Abstract

A 53-year-old female patient, admitted to the hospital because of eye damage, always believes that there are insect bites on her skin. The disease has been present for about 3 years, the patient described seeing a white "scabies" shaped like a rice grain with legs crawling all over the patient's body, the patient said that he had gone to many places for dermatology and treatment, but the above condition did not improve. About 3 months ago, the patient noticed that this insect often crawled into the ear, into the nose, into the eye biting in the eye, the patient went for examination and treatment at the Central Eye Hospital, the Eye Department of Bach Mai Hospital, was tested. Her diagnosis: necrotizing scleritis - diabetes – hypertension. During the course of treatment, patients often use antiseptic cotton (alcohol) to wipe their eyes, use needles to prick the skin and conjunctival conjunctiva for the purpose of catching insect mites entering the eyes, often self-administering drugs not prescribed. Patients also complained of many of the above symptoms, invited to consult a the Psychiatrist’s department to diagnose Somatization disorder / necrotizing scleritis - Hypertension - diabetes. Patients were adjusted to diet, examination and eye care, Fluvoxamine 200mg/day and Quetiapine 400mg/day. After 15 days of treatment, the disease was in remission and was discharged from the hospital and scheduled to be re-examined after 1 month.