Case report: Dermatosis neglecta mimicking pemphigus foliaceus in association with obsessive–compulsive disorder

Frontiers in Medicine

Medicine

Kantarat Wattanawinitchai¹  Poonkiat Suchonwanit² 

[1] Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand;null;

关键词: OCD;    psychiatric management;    psychodermatology;    self-neglect;    skin;    self-cleaning;    dermatitis neglecta;    terra firma-forme dermatosis;   

DOI  :  10.3389/fmed.2023.1076397

 received in 2022-10-21, accepted in 2023-03-08,  发布年份 2023

来源: Frontiers

【 摘 要 】

Dermatosis neglecta (DN) is a frequently underrecognized skin disorder that occurs due to unconscious or conscious neglect of self-cleaning, causing the accumulation of keratin, sweat, sebum, and impurities. It is characterized by asymptomatic yellowish-to-brownish, waxy, adherent papules or plaques with cornflake-like scales that mimic several dermatological conditions. DN awareness is crucial for avoiding unnecessary invasive diagnostic procedures. Its lesions can be removed with some difficulty by ordinary cleansing and efficiently cleared with ethyl or isopropyl alcohol. Individuals with underlying physical or mental disabilities or psychiatric conditions are highly associated with DN. Nevertheless, supportive evidence for the coexistence of DN and psychological conditions is sparse, and most individuals with mental problems usually deny having psychiatric issues. Here, we present a case of DN resembling pemphigus foliaceus on the face with obsessive–compulsive disorder in a 16-years old male. The definitive diagnosis of DN in this patient was confirmed via histopathological examination. The lesions completely disappeared after appropriate facial cleansing and psychiatric management. DN may reveal underlying psychiatric disorders in patients.

【 授权许可】

Unknown   
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