An unusually severe Case of dermatosis neglecta: a diagnostic challenge

Dermatosis neglecta is a condition secondary to lack of cleanliness, characterized by the formation of hyperkeratotic plaques located in a particular region of the body, usually due to a disability, and it is considered a diagnostic challenge because it can mimic other entities. We present the case...

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Autores principales: Pérez Rodríguez, Irma Margarita, Muñoz Garza, Fania Zamantta, Ocampo Candiani, Jorge
Formato: Artículo
Lenguaje:inglés
Publicado: 2014
Materias:
Acceso en línea:http://eprints.uanl.mx/15208/1/301.pdf
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author Pérez Rodríguez, Irma Margarita
Muñoz Garza, Fania Zamantta
Ocampo Candiani, Jorge
author_facet Pérez Rodríguez, Irma Margarita
Muñoz Garza, Fania Zamantta
Ocampo Candiani, Jorge
author_sort Pérez Rodríguez, Irma Margarita
collection Repositorio Institucional
description Dermatosis neglecta is a condition secondary to lack of cleanliness, characterized by the formation of hyperkeratotic plaques located in a particular region of the body, usually due to a disability, and it is considered a diagnostic challenge because it can mimic other entities. We present the case of an 18-year-old woman with a 2-month history of progressive brown verrucous plaque in her face. Our first impression was seborrheic dermatitis and she was treated with facial cleanser soap and topic hydrocortisone 1%. One month later, she arrived with new lesions. Because of this our diagnosis changed to Darier’s disease versus seborrheic pemphigus versus foliaceus pemphigus. Histopathology and immunofluorescence studies were compatible with seborrheic dermatitis. The patient complained of depression and social withdrawal and denied facial cleansing. Facial cleansing was performed during consultation presenting resolution of the lesions, which confirmed the diagnosis of dermatosis neglecta. Dermatosis neglecta is a disease that can be frequently misdiagnosed, since it has many differential diagnoses, such as hyperkeratotic syndromes. It should be recognized early and aggressive diagnostic and therapeutic methods should be avoided.
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spelling eprints-152082022-04-07T22:00:52Z http://eprints.uanl.mx/15208/ An unusually severe Case of dermatosis neglecta: a diagnostic challenge Pérez Rodríguez, Irma Margarita Muñoz Garza, Fania Zamantta Ocampo Candiani, Jorge RL Dermatología Dermatosis neglecta is a condition secondary to lack of cleanliness, characterized by the formation of hyperkeratotic plaques located in a particular region of the body, usually due to a disability, and it is considered a diagnostic challenge because it can mimic other entities. We present the case of an 18-year-old woman with a 2-month history of progressive brown verrucous plaque in her face. Our first impression was seborrheic dermatitis and she was treated with facial cleanser soap and topic hydrocortisone 1%. One month later, she arrived with new lesions. Because of this our diagnosis changed to Darier’s disease versus seborrheic pemphigus versus foliaceus pemphigus. Histopathology and immunofluorescence studies were compatible with seborrheic dermatitis. The patient complained of depression and social withdrawal and denied facial cleansing. Facial cleansing was performed during consultation presenting resolution of the lesions, which confirmed the diagnosis of dermatosis neglecta. Dermatosis neglecta is a disease that can be frequently misdiagnosed, since it has many differential diagnoses, such as hyperkeratotic syndromes. It should be recognized early and aggressive diagnostic and therapeutic methods should be avoided. 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15208/1/301.pdf http://eprints.uanl.mx/15208/1.haspreviewThumbnailVersion/301.pdf Pérez Rodríguez, Irma Margarita y Muñoz Garza, Fania Zamantta y Ocampo Candiani, Jorge (2014) An unusually severe Case of dermatosis neglecta: a diagnostic challenge. Case reports in dermatology, 6 (2). pp. 194-199. ISSN 1662-6567 http://doi.org/10.1159/000366515 doi:10.1159/000366515
spellingShingle RL Dermatología
Pérez Rodríguez, Irma Margarita
Muñoz Garza, Fania Zamantta
Ocampo Candiani, Jorge
An unusually severe Case of dermatosis neglecta: a diagnostic challenge
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title An unusually severe Case of dermatosis neglecta: a diagnostic challenge
title_full An unusually severe Case of dermatosis neglecta: a diagnostic challenge
title_fullStr An unusually severe Case of dermatosis neglecta: a diagnostic challenge
title_full_unstemmed An unusually severe Case of dermatosis neglecta: a diagnostic challenge
title_short An unusually severe Case of dermatosis neglecta: a diagnostic challenge
title_sort unusually severe case of dermatosis neglecta a diagnostic challenge
topic RL Dermatología
url http://eprints.uanl.mx/15208/1/301.pdf
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