Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases
Dermatosis neglecta is a benign cutaneous condition which is often misdiagnosed. It occurs due to poor local hygiene or inadequate washing of a part of the body resulting in progressive accumulation of sebum, sweat, keratin and other debris which form an adherent crust of dirt. It mainly occurs in i...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17315/57353_CE(Vi)_F(IS)_PF1(SC_SS_OM)_PFA(OM)_PN(SS).pdf |
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| author | Devaraj Yogesh Nikitha Reddy Mittamidi Zigu S Krshn Taranpreet Kaur Kalra Priyanka Yogananda |
| author_facet | Devaraj Yogesh Nikitha Reddy Mittamidi Zigu S Krshn Taranpreet Kaur Kalra Priyanka Yogananda |
| author_sort | Devaraj Yogesh |
| collection | DOAJ |
| description | Dermatosis neglecta is a benign cutaneous condition which is often misdiagnosed. It occurs due to poor local hygiene or inadequate washing of a part of the body resulting in progressive accumulation of sebum, sweat, keratin and other debris which form an adherent crust of dirt. It mainly occurs in individuals who are unable to take care of themselves, like those with physical disability or psychosis. It is usually asymptomatic and is characterised by localised hyperpigmented patch or verrucous papules and plaques. Rubbing the affected area with alcohol-soaked gauze results in complete clearance of the lesion which is both diagnostic and therapeutic. The present case series describes four patients of different age groups. The first patient was a 65-year-old female, who underwent amputation of the gangrenous toes of right foot. She did not wash that leg for several weeks following surgery and developed cornflakes-like scaly lesions. Later lesions were diagnosed as dermatosis neglecta. Second case was an 18-year-old male, who presented with lesions on neck, which was misdiagnosed initially as Pityriasis vesicolor. The third patient was a 20-year-old female, who presented with lesions on neck and was earlier diagnosed and treated as acanthosis nigricans. The fourth patient was a two-year-old female who developed lesions on neck due to accumulation of dirt and debris. In all these patients, lesions resolved on rubbing with alcohol-soaked swab. Very little data is available in medical literature about this condition. Therefore this case series is being reported to bring awareness among dermatologists. This would enable prompt clinical recognition and obviate the need for expensive investigations and treatment strategies. |
| first_indexed | 2024-04-10T20:51:23Z |
| format | Article |
| id | doaj.art-7df1b5b519574d1f8c3ac9088c2d4df0 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T20:51:23Z |
| publishDate | 2022-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-7df1b5b519574d1f8c3ac9088c2d4df02023-01-23T12:05:11ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-12-011612WR01WR0410.7860/JCDR/2022/57353.17315Dermatosis Neglecta Involving Different Age Groups- A Series of Four CasesDevaraj Yogesh0Nikitha Reddy Mittamidi1Zigu S Krshn2Taranpreet Kaur Kalra3Priyanka Yogananda4Associate Professor, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India.Junior Resident, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India.Senior Resident, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India.Junior Resident, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India.Junior Resident, Department of Dermatology, Adichunc hanagiri Institute of Medical Sciences, Mandya, Karnataka, India.Dermatosis neglecta is a benign cutaneous condition which is often misdiagnosed. It occurs due to poor local hygiene or inadequate washing of a part of the body resulting in progressive accumulation of sebum, sweat, keratin and other debris which form an adherent crust of dirt. It mainly occurs in individuals who are unable to take care of themselves, like those with physical disability or psychosis. It is usually asymptomatic and is characterised by localised hyperpigmented patch or verrucous papules and plaques. Rubbing the affected area with alcohol-soaked gauze results in complete clearance of the lesion which is both diagnostic and therapeutic. The present case series describes four patients of different age groups. The first patient was a 65-year-old female, who underwent amputation of the gangrenous toes of right foot. She did not wash that leg for several weeks following surgery and developed cornflakes-like scaly lesions. Later lesions were diagnosed as dermatosis neglecta. Second case was an 18-year-old male, who presented with lesions on neck, which was misdiagnosed initially as Pityriasis vesicolor. The third patient was a 20-year-old female, who presented with lesions on neck and was earlier diagnosed and treated as acanthosis nigricans. The fourth patient was a two-year-old female who developed lesions on neck due to accumulation of dirt and debris. In all these patients, lesions resolved on rubbing with alcohol-soaked swab. Very little data is available in medical literature about this condition. Therefore this case series is being reported to bring awareness among dermatologists. This would enable prompt clinical recognition and obviate the need for expensive investigations and treatment strategies.https://www.jcdr.net/articles/PDF/17315/57353_CE(Vi)_F(IS)_PF1(SC_SS_OM)_PFA(OM)_PN(SS).pdfunwashed dermatosisdiagnostic challengepoor local hygienepsychosis |
| spellingShingle | Devaraj Yogesh Nikitha Reddy Mittamidi Zigu S Krshn Taranpreet Kaur Kalra Priyanka Yogananda Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases Journal of Clinical and Diagnostic Research unwashed dermatosis diagnostic challenge poor local hygiene psychosis |
| title | Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases |
| title_full | Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases |
| title_fullStr | Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases |
| title_full_unstemmed | Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases |
| title_short | Dermatosis Neglecta Involving Different Age Groups- A Series of Four Cases |
| title_sort | dermatosis neglecta involving different age groups a series of four cases |
| topic | unwashed dermatosis diagnostic challenge poor local hygiene psychosis |
| url | https://www.jcdr.net/articles/PDF/17315/57353_CE(Vi)_F(IS)_PF1(SC_SS_OM)_PFA(OM)_PN(SS).pdf |
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