Dermatitis neglecta: relato de dois casos

Abstract

Few cases of dermatosis neglecta have been reported in the medical literature, although the diagnosis is well-known to dermatologists. Recognizing this condition avoids unnecessary, aggressive diagnostic and therapeutic procedures. This case report discusses two cases of this condition in female patients in whom the dermatosis developed as a result of deliberate or unconscious neglect of personal hygiene. Keywords: Adolescent; Adult; Female; Hygiene Resumo: Poucos são os casos de dermatitis neglecta relatados na literatura, apesar de o diagnóstico ser conhecido pelos dermatologistas. Reconhecer o quadro evita condutas diagnósticas e terapêuticas agressivas e desnecessárias. Os autores relatam dois casos de pacientes do sexo feminino nos quais a dermatite se desenvolveu como resultado intencional ou não de negligência com o asseio pessoal.

Dermatosis neglecta: An increasingly recognized entity with review of literature

“…Most of the previously reported cases were described in the context of painful and disabling conditions, which led to neglect of appropriate skin care, but now there is an increasing incidence of DN developing in a setting of psychiatric background or frank psychosis or schizophrenia[ 9 ] or even it may be a result of intentional neglect for some secondary gain. [ 6 ] Our present article reinforces our observation once again. Only proper awareness among treating physicians and increased consciousness among patients can reduce the rate of misdiagnosis, and the only simplest thing that can prevent invasive and expensive workup is thorough and proper history taking and a simple alcohol swab test.…”

A Case of Terra Firma-Forme Dermatosis Treated with Salicylic Acid Alcohol Peeling

“…Dermatosis neglecta (unwashed dermatosis) was first described in 1995 and the skin lesion clinically can look like brownish hyperkeratotic lesion that resemble to the TFFD, and these lesion are the result of avoiding washing 7 8 . All of the lesions can be rapidly resolved with normal washing with soap or alcohol swab as well, which dermatosis neglecta could be differentiated from TFFD.…”

A case of generalized ostraceous psoriasis mimicking dermatitis neglecta

“…The disease develops as a result of intentional or unconscious self-neglect of the patient, usually associated with psychiatric disorders. 4 There is a dermatitis neglecta report mimicking ostraceous psoriasis, but no case of this form of psoriasis mimicking dermatitis neglecta was published. 5 …”

“…The hyperkeratotic plaques in dermatitis neglecta are due to the accumulation of sebum, sweat, corneocytes and bacteria, which form compact adherent crusts of dirt, removable with cotton and alcohol or saline solution. 4 , 5 …”