World Library  
Flag as Inappropriate
Email this Article

Dermatosis neglecta

Article Id: WHEBN0021449135
Reproduction Date:

Title: Dermatosis neglecta  
Author: World Heritage Encyclopedia
Language: English
Subject: Electrical burn, External cause, Chronic mountain sickness, Immersion foot syndromes, Arthus reaction
Collection: Skin Conditions Resulting from Physical Factors
Publisher: World Heritage Encyclopedia

Dermatosis neglecta

A 35-year-old male of Pakistani origin, with multiple fractures, neurological deficit and immobility sustained in a fall, leading to the development of dermatosis neglecta of the left hand. Upper image: Dorsum of hand (at presentation). Lower image: Dorsum of hand (after two weeks).

Dermatosis neglecta is a skin condition in which accumulation of sebum, keratin, sweat, dirt and debris leads to a localized patch of skin discoloration or a wart-like plaque. It is caused by inadequate hygiene of a certain body part, usually due to some form of disability or a condition that is associated with pain or increased sensitivity to touch (hyperesthesia) or immobility.[1]

Dermatosis neglecta typically develops several months after a disability or other affliction leads to improper cleaning. Patients may deny that negligence is the cause of the lesion, even though it completely resolves on vigorous rubbing with alcohol swabs or water and soap (which provides both diagnosis and treatment). Recognizing the diagnosis avoids unnecessary skin biopsies.

Examples of case reports from the literature include a man who avoided washing the skin area surrounding an artificial pacemaker out of fear it might be damaged; a woman who didn't clean the right side of her chest due to hyperesthesia following an amputation for breast cancer (mastectomy); a girl who was afraid to wash the area around an abdominal scar; and a man with multiple fractures, shoulder dislocation and radial nerve palsy which significantly reduced his mobility.[2][3][1]

Differential diagnosis

Many other conditions can lead to localized scaling or hyperpigmentation.

This condition should firmly be distinguished from dermatitis artefacta, which is the factitious creation of a skin lesion, whereas dermatosis neglecta results from unconscious avoidance of cleaning due to pain or immobility.

Other skin conditions which should not be mistaken for dermatosis neglecta include: terra firma-forme dermatosis[4] (in which there is no history of inadequate cleaning); confluent and reticulated papillomatosis of Gougerot and Carteaud; several forms of ichthyosis; acanthosis nigricans; and Vagabond's disease.


The term was first coined by Poskitt and coworkers in 1995.[5]


  1. ^ a b Ruiz-Maldonado R, Durán-McKinster C, Tamayo-Sánchez L, Orozco-Covarrubias ML (June 1999). "Dermatosis neglecta: dirt crusts simulating verrucous nevi". Arch Dermatol 135 (6): 728–9.  
  2. ^ Qadir SN, Ejaz A, Raza N (2008). "Dermatosis neglecta in a case of multiple fractures, shoulder dislocation and radial nerve palsy in a 35-year-old man: a case report". J Med Case Reports 2 (1): 347.  
  3. ^ Lucas JL, Brodell RT, Feldman SR (2006). "Dermatosis neglecta: a series of case reports and review of other dirty-appearing dermatoses". Dermatol. Online J. 12 (7): 5.  
  4. ^ Browning J, Rosen T (2005). "Terra firma-forme dermatosis revisited". Dermatol. Online J. 11 (2): 15.  
  5. ^ Poskitt L, Wayte J, Wojnarowska F, Wilkinson JD (May 1995). "'Dermatitis neglecta': unwashed dermatosis". Br. J. Dermatol. 132 (5): 827–9.  
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.

Copyright © World Library Foundation. All rights reserved. eBooks from World Library are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.