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A Case of Dermatitis Neglecta

Title
A Case of Dermatitis Neglecta
Authors
Han, You JinKim, So YoungChoi, Hae YoungMyung, Ki BumChoi, You Won
Ewha Authors
명기범최혜영최유원김소영
SCOPUS Author ID
명기범scopusscopus; 최혜영scopus; 최유원scopus
Issue Date
2008
Journal Title
ANNALS OF DERMATOLOGY
ISSN
1013-9087JCR Link
Citation
vol. 20, no. 4, pp. 257 - 259
Keywords
Dermatitis neglectaUnwashed dermatosis
Publisher
KOREAN DERMATOLOGICAL ASSOC
Indexed
SCIE; SCOPUS; KCI WOS
Abstract
Dermatitis neglecta (unwashed dermatosis) presents as pigmented hyperkeratotic plaques with adherent scales which clinically resembles psoriasis. This condition is die result of avoiding washing die affected areas, so die lesions are characteristically resolved with normal washing or with gentle wiping from an alcohol swab. We report a 29-year-old man who presented with art asymptomatic hyperkeratotic scaly plaque on umbilicus. A skin biopsy was done under the clinical impression of psoriasis. During skin biopsy, gentle swabbing with H(2)O(2) and saline gauze was done. The patient revisited our clinic 10 clays after the skin biopsy and the hyperkeratotic lesion had cleared. Histologic examination showed orthokeratotic hyperkeratosis and anastomosing rete ridges. There has been no previous report of dermatitis neglecta with histologic confirmation, and so this case could be the first report to provide die histologic characteristics of dermatitis neglecta. Because this condition night be overlooked and underdiagnosed, recognizing its existence and cause are important to avoid unnecessary biopsies and potentially aggressive therapeutic measures.
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의과대학 > 의학과 > Journal papers
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