Abstract

Complex visual hallucinations (CVH) may emerge in several circumstances, generally detailed and colorful, during clear sensorium. They include people or children, Lilliputian images, deformed faces, animals and complex scenes, being more common during poor light or personal isolation, with variable insight. Treatment of CVH depends on the etiology, albeit evidence for pharmacotherapy is limited1. Delusional infestation (DI) is an uncommon condition, in which patients believe that insects or small vermin are living or thriving on and in the skin or body. It may be the sole psychiatric disturbance or in association with an underlying disorder. Presence of hallucinations congruent with the delusions does not exclude the diagnosis2. DI treatment is particularly based on second generation antipsychotics (SGA)3. We report a case presenting DI and CVH treated with aripiprazole

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