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

• Main Authors: Qadir Syed, Ejaz Amer, Raza Naeem
• Format: Article
• Language: English
• Published: BMC 2008-11-01
• Series: Journal of Medical Case Reports
• Online Access: http://www.jmedicalcasereports.com/content/2/1/347

<p>Abstract</p> <p>Introduction</p> <p>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.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusion</p> <p>Early and prompt clinical recognition of this condition eliminates the need for aggressive diagnostic and therapeutic procedures.</p>