What is the differential diagnosis of patients who complain that they are infested with parasites?- True parasitic infestation
- Intoxication or withdrawal from alcohol, amphetamines or cocaine
- Drugs such as corticosteroids and methylphenidate
- Organic brain syndromes
- Systemic disease such as diabetes, renal or hepatic failure, endocrinopathies, multiple sclerosis, and lymphoma
- Pellagra
- Vitamin B12 or folate deficiency
- Obsessions, phobias, delusions, and hallucinations
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