Dermatitis neglecta (original) (raw)

Abstract

The term dermatitis neglecta was first coined by Poskitt et al. in 1995. Dermatitis neglecta is an often misdiagnosed and under-diagnosed condition. In dermatitis neglecta, a progressive accumulation of sebum, sweat, keratin and other dirt and debris occurs resulting in a localized hyperpigmented patch or a verrucous plaque. Failure to adequately clean or scrub the skin, often in an area of hyperesthesia or prior trauma, can produce dermatitis neglecta. This has similarities to dermatitis artifacta, although in the latter condition the lesions are associated with acts of commission whereas in dermatitis neglecta the dermatitis is associated with acts of omission. Vigorous rubbing with alcohol-soaked gauze or soap and water results in a complete resolution of the lesion. Treatment includes counseling and encouraging the patient to maintain appropriate hygiene of the affected region in spite of his or her disability. Daily light scrubbing of the affected area with soap and water or al...

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