Sasaya Elisa Mayumi Kubo, Ghislandi Carolina, Trevisan Flávia, Ribeiro Talita Beithum, Mulinari-Brenner Fabiane, Gaiewski Caroline Balvedi
Universidade Federal do Paraná, Curitiba, PR, BR.
An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):59-61. doi: 10.1590/abd1806-4841.20153656.
Dermatosis neglecta is the name of a skin condition characterized by papules and polygonal plaques, which are sometimes warty, brownish and hyperpigmented, adherent and symmetric, though removable with ethyl or isopropyl alcohol. It occurs due to inadequate skin cleansing causing accumulation of sebum, sweat, keratin and impurities. Its occurrence, though little reported, is frequent. The main differential diagnosis is the Terra firma-forme dermatosis. The treatment is simple, with exfoliation, moisturizing and even rubbing of alcohol. Causes of negligence on the patient's side, which can range from hygiene carelessness to psychiatric disorders, local hypersensitivity, limbs negligence or motor paralysis, should be investigated. We illustrate the case of dermatosis neglecta in a 45-years old patient admitted with pulmonary sepsis.
隐匿性皮肤病变是一种以丘疹和多边形斑块为特征的皮肤疾病,这些丘疹和斑块有时呈疣状、褐色且色素沉着,粘连且对称,不过可用乙醇或异丙醇去除。它是由于皮肤清洁不足导致皮脂、汗液、角蛋白和杂质积聚而发生的。其发病率虽报道较少,但很常见。主要的鉴别诊断是陆地形式的皮肤病。治疗方法很简单,包括去角质、保湿甚至擦拭酒精。应调查患者方面的疏忽原因,范围可从卫生疏忽到精神疾病、局部过敏、肢体疏忽或运动麻痹。我们举例说明一名因肺部败血症入院的45岁患者的隐匿性皮肤病变病例。