[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.161.128.52. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Correspondence
June 1999

Dermatosis Neglecta: Dirt Crusts Simulating Verrucous Nevi

Author Affiliations

Not Available

Arch Dermatol. 1999;135(6):728-729. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-6-dlt0699

Acquired, long-standing, nonsymptomatic, dark, verrucous plaques of dirt simulating verrucous nevi have been recognized as dermatitis neglecta.1 They may represent a diagnostic and therapeutic challenge.

A 13-year-old girl consulted for dark brown plaques with a verrucous surface around both areolas. The lesions had first appeared 4 months previously and progressively grew in size and thickness. Her breast development was consistent with Tanner II stage; breast ache was occasionally present. At the time of consultation, dermatology residents made a presumptive diagnosis of acquired verrucous nevus. When one side of the pigmented plaque was rubbed with alcohol-soaked gauze, the dark lesion disappeared completely, leaving beneath it normal-appearing skin (Figure 1 and Figure 2).

First Page Preview View Large
First page PDF preview
First page PDF preview
×