Bilateral thick crusts on the legs

Richter, Laura L.; Miller, Robert M.; Hillman, Joseph D.; Chiu, Melvin

doi:10.1111/j.1365-4632.2012.05678.x

Cited by 10 publications

(14 citation statements)

References 10 publications

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“…The diagnosis is clinical and lesions can be identified by removing the crusts with isopropyl alcohol [1]. A biopsy is usually not necessary and orthokeratotic hyperkeratosis, papillomatosis and mild acanthosis can be seen without an inflammatory infiltrate [8, 9]. …”

Section: Discussionmentioning

confidence: 99%

An Unusually Severe Case of Dermatosis Neglecta: A Diagnostic Challenge

Pérez-Rodríguez¹,

Muñoz-Garza²,

Ocampo‐Candiani³

2014

Case Rep Dermatol

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Dermatosis neglecta is a condition secondary to lack of cleanliness, characterized by the formation of hyperkeratotic plaques located in a particular region of the body, usually due to a disability, and it is considered a diagnostic challenge because it can mimic other entities. We present the case of an 18-year-old woman with a 2-month history of progressive brown verrucous plaque in her face. Our first impression was seborrheic dermatitis and she was treated with facial cleanser soap and topic hydrocortisone 1%. One month later, she arrived with new lesions. Because of this our diagnosis changed to Darier's disease versus seborrheic pemphigus versus foliaceus pemphigus. Histopathology and immunofluorescence studies were compatible with seborrheic dermatitis. The patient complained of depression and social withdrawal and denied facial cleansing. Facial cleansing was performed during consultation presenting resolution of the lesions, which confirmed the diagnosis of dermatosis neglecta. Dermatosis neglecta is a disease that can be frequently misdiagnosed, since it has many differential diagnoses, such as hyperkeratotic syndromes. It should be recognized early and aggressive diagnostic and therapeutic methods should be avoided.

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Section: Discussionmentioning

confidence: 99%

An Unusually Severe Case of Dermatosis Neglecta: A Diagnostic Challenge

Pérez-Rodríguez¹,

Muñoz-Garza²,

Ocampo‐Candiani³

2014

Case Rep Dermatol

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“…Dermatitis neglecta, synonymously known as dermatosis neglecta, results from the scrupulous avoidance of scrubbing or cleansing of skin . The condition may occur as a result of any psychiatric illness, neurological deficit, surgical scar and/or hyperesthesia, amongst others . It is morphologically characterised by heaped‐up, hyperpigmented, adherent, cornflake‐like scales .…”

Section: Answermentioning

confidence: 99%

“…The condition may occur as a result of any psychiatric illness, neurological deficit, surgical scar and/or hyperesthesia, amongst others . It is morphologically characterised by heaped‐up, hyperpigmented, adherent, cornflake‐like scales . Alcohol swabbing acts both as a diagnostic and therapeutic tool by prompt clearing of the condition …”

Section: Answermentioning

confidence: 99%

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Peri‐areolar dermatitis neglecta

Ghosh

Sarkar

Darung

2018

J Paediatrics Child Health

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“…[ 1 ] It is characterized by hyperpigmented, waxy, verrucous plaques secondary to poor skin hygiene, which may be due to psychiatric illness, neurological deficit, surgical scar, hyperesthesia, periorbital eczema or even a benign nevus. [ 2 ] It is said to occur due to incomplete exfoliation and consequent accumulation of sebum, sweat, corneocytes and keratin material. TFFD or “Duncan's dirty dermatoses” is another similar condition; however certain differences have been noted in literature [ Table 1 ].…”

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confidence: 99%