title: Dermatosis neglecta in a case of multiple fractures, shoulder dislocation and radial nerve palsy in a 35-year-old man: a case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Early and prompt clinical recognition of this condition eliminates the need for aggressive diagnostic and therapeutic procedures.
authors.affiliation: Skin department, Combined Military Hospital, Kharian Cantt, Pakistan . s_qadir2004@hotmail.com
authors.forename: Syed Nurul Rasool
authors.initials: SN
authors.lastname: Qadir
authors.forename: Amer
authors.initials: A
authors.lastname: Ejaz
authors.forename: Naeem
authors.initials: N
authors.lastname: Raza