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THROUGH THE LENS
Year : 2019  |  Volume : 10  |  Issue : 5  |  Page : 609  

Dermatosis Neglecta - Report of a Case with Verrucous Plaque in a Child


Department of DVL, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India

Date of Web Publication28-Aug-2019

Correspondence Address:
Konakanchi Venkatachalam
Department of DVL, Andhra Medical College, Visakhapatnam . 530 002, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_360_18

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How to cite this article:
Venkatachalam K, Anila P S, A Bindu SS. Dermatosis Neglecta - Report of a Case with Verrucous Plaque in a Child. Indian Dermatol Online J 2019;10:609

How to cite this URL:
Venkatachalam K, Anila P S, A Bindu SS. Dermatosis Neglecta - Report of a Case with Verrucous Plaque in a Child. Indian Dermatol Online J [serial online] 2019 [cited 2019 Nov 13];10:609. Available from: http://www.idoj.in/text.asp?2019/10/5/609/265632



A 9-year-old boy born out of nonconsanguineous marriage was brought to our outpatient department with asymptomatic, hyperpigmented, hyperkeratotic, verrucous plaque over dorsal aspect of shaft of penis since 5 years; which is gradually increasing in size [Figure 1]. We noticed that the boy was circumcised and upon asking history we came to know that the boy underwent circumcision at the age of 2 years and since then, neglected to wash the area. When the lesion was cleaned with alcohol gauze, we were able to remove the debris [Figure 2]. The case was diagnosed as Dermatosis neglecta. The area was thoroughly cleaned and the parents and child were counseled regarding personal hygiene.
Figure 1: Hyperkeratotic verrucous plaque over dorsal aspect of shaft of penis following circumcision

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Figure 2: Debris removed after cleaning with alcohol gauze

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In 1955, Poskitt et al.[1] described for the first time an entity called as Dermatitis neglecta or unwashed dermatosis, as a condition that occurs secondary to lack of cleanliness, characterized by accumulation of corneocytes, sebum, sweat, and bacteria forming hyperkeratotic plaque. As there was no associated inflammation in this entity, Ruiz-Maldonado et al.[2] in the year 1999 proposed an alternate terminology - Dermatosis neglecta.

Dermatosis neglecta is an entity that can be simple to diagnose and simple to treat, provided the treating physician is aware of the condition. This is an attempt to create awareness among dermatologists of this often misdiagnosed entity as it will prevent unnecessary diagnostic and therapeutic interventions.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Poskitt L, Wayte J, Wojnarowska F, Wilkinson JD. 'Dermatitis neglecta': Unwashed dermatosis. Br J Dermatol 1995;132:827-9.  Back to cited text no. 1
    
2.
Ruiz-Maldonado R, Durán-McKinster C, Tamayo-Sánchez L, Orozco-Covarrubias M. Dermatosis neglecta: Dirt crusts simulating verrucous nevi. Arch Dermatol 1999;135:728-9.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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