Indian Dermatology Online Journal

: 2019  |  Volume : 10  |  Issue : 5  |  Page : 609-

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

Konakanchi Venkatachalam, P Sunandini Anila, Satti S A Bindu 
 Department of DVL, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Konakanchi Venkatachalam
Department of DVL, Andhra Medical College, Visakhapatnam . 530 002, Andhra Pradesh

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;10:609-609

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 2020 Sep 20 ];10:609-609
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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}{Figure 2}

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.

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1Poskitt L, Wayte J, Wojnarowska F, Wilkinson JD. 'Dermatitis neglecta': Unwashed dermatosis. Br J Dermatol 1995;132:827-9.
2Ruiz-Maldonado R, Durán-McKinster C, Tamayo-Sánchez L, Orozco-Covarrubias M. Dermatosis neglecta: Dirt crusts simulating verrucous nevi. Arch Dermatol 1999;135:728-9.