Dermatosis Neglecta

Dermatosis Neglecta


By Dr. Rasya Dixit , Dermatology

Dermatosis Neglecta is a condition that refers to the formation and accumulation of sebum, papules, dirt sweat and sometimes warty. It is also characterised by the formation of plaques and discoloration of different patches of skin. This is commonly caused due to the inadequate frictional cleansing.

The term ‘dermatosis neglecta’ was first used by Poskitt and its coworkers in 1995.

What are its common symptoms ?

A lot of symptoms are shown by this disease as the symptoms are quite prominent to eyes. These are:

  • Formation of polygonal plaques.
  • Formation of blisters on the epidermis.
  • Formation of verrucous plaques.
  • Skin appears to be sweaty.
  • Pigmentation on localized areas of the skin.
  • Formation of dirt crusts on the surface of skin.
  • Increased sensitivity of touch.

Causes for Dermatosis Neglecta:

i. Improper cleansing of skin.

ii. Not able to maintain hygienic environment.

iii. Vigorous rubbing.

iv. Negligence from the patient.

v. Suffering from a psychiatric disorder.

vi. Motor or sensory nerve impairment.

vii. Any traumatic incident.

viii. Nerve palsy.

Making its Diagnosis:

The diagnosis is made by proper dermatological examination that include different kinds of tests. These tests contain local friction with ethyl and isopropyl alcohol which completely clears the lesions without sequelae, displaying normal skin underneath the scrubbed area.The diagnosis also depends upon the type of symptom shown by the sufferer.Other skin conditions which should not be mistaken for dermatosis neglecta include: terra firma-forme dermatosis (in which there is no history of inadequate cleaning).

What are the available treatments for dermatosis neglecta ?

The condition can be treated with the diagnostic method itself (swabbing with alcohol) or with products such as exfoliants or other keratolytic agents in order to accelerate the normalization of the skin. This is considered to be the best method for treatment of dermatosis neglecta. Dermatosis neglecta should be taken into consideration because of its ability to mimic other skin diseases. Other remedies that can be used for its treatment is as follows:

  • Oat Meal.
  • Coconut Oil.
  • Apple cider vinegar.
  • Aloe vera.
  • Vitamin E.
  • Honey.
  • Chamomile.
  • Neem.
  • Turmeric.
  • Slippery Elm.