Shi Liping, Zhao Jiaqing, Zeng Linxi, Wang Lihong, Zhang Guoqiang
Department of Dermatology, The First Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China.
Candidate Branch of National Clinical Research Center for Skin Diseases, Shijiazhuang, People's Republic of China.
Clin Cosmet Investig Dermatol. 2023 Aug 7;16:2083-2088. doi: 10.2147/CCID.S419092. eCollection 2023.
Dermatosis neglecta (DN) is a rare psychogenic dermatosis. To our knowledge, this is the first reported case of DN based on exanthematous drug eruption. We report a 68-year-old Chinese male patient who presented with thick, yellowish-brown crusting on his face and scalp and scaly skin for 6 days. Dermoscopy revealed diffusely distributed yellow-green serescrust-like plaques with different sizes and uneven thickness on a red background, and some demonstrated dot or globular hemorrhages. We considered DN and exanthematous drug eruptions based on the combination of the clinical medication and the history before the rash.
隐匿性皮肤病变（DN）是一种罕见的精神性皮肤病。据我们所知，这是首例基于药疹样皮炎报道的DN病例。我们报告一名68岁中国男性患者，其面部和头皮出现厚的黄褐色结痂及鳞屑性皮肤6天。皮肤镜检查显示在红色背景上有弥漫分布的大小不同、厚度不均的黄绿色浆液痂样斑块，部分可见点状或球状出血。结合临床用药情况及出疹前病史，我们考虑为DN和药疹样皮炎。
