Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

Dermatosis neglecta in a case of multiple fractures, shoulder dislocation and radial nerve palsy in a 35-year-old man: a case report

Authors: Syed Nurul Rasool Qadir, Amer Ejaz, Naeem Raza

Published in: Journal of Medical Case Reports | Issue 1/2008

Login to get access

Abstract

Introduction

Dermatosis neglecta is an often misdiagnosed and under-diagnosed condition. In dermatosis neglecta, a progressive accumulation of sebum, sweat, keratin and other dirt and debris, occurs due to inadequate local hygiene resulting in a localized hyperpigmented patch or a verrucous plaque. Vigorous rubbing with alcohol-soaked gauze or soap and water results in a complete resolution of the lesion. This is the first case of dermatosis neglecta reported in a patient with multiple traumatic injuries.

Case presentation

We report a case of a 35-year-old male Caucasian 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.

Conclusion

Early and prompt clinical recognition of this condition eliminates the need for aggressive diagnostic and therapeutic procedures.
Appendix
Available only for authorised users
Literature
1.
go back to reference Poskitt L, Wayne J, Wojnarowska F, Wilkinson JD: Dermatosis neglecta: unwashed dermatosis. Br J Dermatol. 1995, 132: 827-839.CrossRefPubMed Poskitt L, Wayne J, Wojnarowska F, Wilkinson JD: Dermatosis neglecta: unwashed dermatosis. Br J Dermatol. 1995, 132: 827-839.CrossRefPubMed
2.
go back to reference Sanchez A, Duran C, de la Luz-Orozco M, Saez M, Maldonado RR: Dermatosis neglecta : a challenge diagnosis. Dermatol Pediatr Lat. 2005, 3 (1): 45-47. Sanchez A, Duran C, de la Luz-Orozco M, Saez M, Maldonado RR: Dermatosis neglecta : a challenge diagnosis. Dermatol Pediatr Lat. 2005, 3 (1): 45-47.
3.
go back to reference Maldonado RR, Durn-McKinster C: Dermatitis neglecta: dirt crusts simulating verrucous naevi. Arch Dermatol. 1999, 135: 728-729. 10.1001/archderm.135.6.728.CrossRef Maldonado RR, Durn-McKinster C: Dermatitis neglecta: dirt crusts simulating verrucous naevi. Arch Dermatol. 1999, 135: 728-729. 10.1001/archderm.135.6.728.CrossRef
4.
go back to reference Raveh T, Gilead LT, Wexler MR: Terra Firma forme dermatosis. Ann Plastic Surg. 1997, 39: 545-549. 10.1097/00000637-199711000-00016.CrossRef Raveh T, Gilead LT, Wexler MR: Terra Firma forme dermatosis. Ann Plastic Surg. 1997, 39: 545-549. 10.1097/00000637-199711000-00016.CrossRef
5.
go back to reference Duncan C, Tschen JA, Knox JM: Terra firma forme dermatosis. Arch Dermatol. 1987, 123: 567-569. 10.1001/archderm.123.5.567.CrossRefPubMed Duncan C, Tschen JA, Knox JM: Terra firma forme dermatosis. Arch Dermatol. 1987, 123: 567-569. 10.1001/archderm.123.5.567.CrossRefPubMed
6.
go back to reference O'Brien TJ, Hall AP: Terra firma forme dermatosis. Aust J of Derm. 1997, 38: 163-164. 10.1111/j.1440-0960.1997.tb01138.x.CrossRef O'Brien TJ, Hall AP: Terra firma forme dermatosis. Aust J of Derm. 1997, 38: 163-164. 10.1111/j.1440-0960.1997.tb01138.x.CrossRef
7.
go back to reference Lucas JL, Brodell RT, Feldman SR: Dermatosis neglecta: A series of case reports and review of other dirty-appearing dermatosis. Dermatol Online J. 2006, 2 (7): 5. Lucas JL, Brodell RT, Feldman SR: Dermatosis neglecta: A series of case reports and review of other dirty-appearing dermatosis. Dermatol Online J. 2006, 2 (7): 5.
8.
go back to reference Boralevi F, Marco-Bonet J, Lepreux S, Buzenet C, Couprie B, Taieb A: Hyperkeratotic head and neck Malassezia dermatosis. Dermatology. 2006, 2 (1): 20-21. Boralevi F, Marco-Bonet J, Lepreux S, Buzenet C, Couprie B, Taieb A: Hyperkeratotic head and neck Malassezia dermatosis. Dermatology. 2006, 2 (1): 20-21.
Metadata
Title
Dermatosis neglecta in a case of multiple fractures, shoulder dislocation and radial nerve palsy in a 35-year-old man: a case report
Authors
Syed Nurul Rasool Qadir
Amer Ejaz
Naeem Raza
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-347

Other articles of this Issue 1/2008

Journal of Medical Case Reports 1/2008 Go to the issue