![]() ![]() © 2004 Lippincott Williams & Wilkins, Inc. This can lead to discontinuation of this medication, despite significant improvement of mood symptoms. One subtype of tactile hallucination, formication, is the sensation of insects crawling underneath the skin and is frequently associated with prolonged cocaine use. Emergency physicians who recognize the characteristics of this diagnosis are encouraged to seek psychiatric consultation rather than performing unnecessary and costly diagnostic tests. Tactile hallucination of bugs crawling on the skin can be a very annoying side effect. Tactile hallucinations are the illusion of tactile sensory input, simulating various types of pressure to the skin or other organs. VTPH is a more commonly occurring disorder than previously reported in the pediatric emergency medicine literature. While most people understand that OCD sufferers struggle with obsessions and compulsions, OCD can also cause a range of auditory and tactile hallucinations. When toxins, drug reactions, central nervous system, and febrile etiologies are ruled out, timely consultation with the psychiatry team can eliminate costly and time-consuming procedures and avoid further emotional distress for the child and family. Hallucinations are abnormal sensory symptoms that may manifest as visual, auditory, tactile or extraordinary disturbances. VTPH can be differentiated from other causes of hallucinations in that the children are preschool to young school age their hallucinations are tactile and visual, presenting at night and symptoms are anxiety-based but short-lived. Ten children with this disorder were encountered. Demographic information included age, gender, duration, and description of symptoms, stressors, family psychiatric history, and outpatient treatment. All cases were initially screened in the emergency department. The diagnosis was established if the hallucinations were well documented as being anxiety-related, not auditory, and with no evidence of underlying organic etiology. ![]() These sensations occur in the absence of any external stimulus and may include. The medical records of children identified with VTPH who were evaluated during a 20-month period in 1998 to 1999 were reviewed. a false perception involving the sense of touch. The purposes of this case series are to review the acute manifestations of hallucinatory phenomenon in young children, with a focus on visual, tactile, and phobic hallucinations (VTPH) as an important part of the differential diagnosis and to describe 10 children who presented to the Children’s National Medical Center Emergency Department (CNMC ED) with VTPH. ![]()
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