%0 Journal Article %T Dermatosis neglecta: simulaci車n, una realidad. A prop車sito de un caso Dermatosis neglecta: simulation, a reality. A propos of a case %A JA Pineda-Pineda %A Antonio D P谷rez-Elizondo %J Revista Argentina de Dermatolog赤a %D 2012 %I Asociaci車n Argentina de Dermatolog赤a %X La dermatosis neglecta es una patolog赤a poco conocida, causada por la falta de higiene, generalmente secundaria al temor de agravar alg迆n problema subyacente de piel como el acn谷, cicatrices postquir迆rgicas, zonas que han recibido radioterapia, cicatrices queloides entre otras, presentando placas cubiertas con costras gruesas, con escamas oleosas e hiperpigmentaci車n, que desaparecen al lavado o limpieza en谷rgica con alcohol o acetona, quedando la piel sana. Presentamos el caso de un paciente de 20 a os de edad, proveniente de la consulta dermatol車gica de la Liga contra el C芍ncer de San Pedro Sula, Honduras, quien se presenta en primera instancia por un cuadro de acn谷 para el que se lo medica con per車xido de benzoilo y protector solar. Acude dos meses despu谷s con elementos costrosos gruesos adherentes y oleosos acompa ados de eritema e hiperpigmentaci車n, los que desaparecen con la limpieza profunda con alcohol, quedando la piel totalmente limpia. Al interrogatorio refiere que no se hab赤a lavado la cara para no empeorar su cuadro de acn谷. Se hace entonces el diagn車stico de dermatosis neglecta. The neglecta dermatosis is an almost unknown pathology. It is caused of lack of hygienic measures, generally subsequent to the pain to increase an existent trouble on the skin (ex: acne, postsurgical scars, radiotherapy, scars, keloids, etc) presenting plates covered with thick crusts, with oily flakes and hyper keratosis pigmentation, which disappears with energetic washing or cleaning with alcohol or acetone, leaving a healthy skin. We present the case of a 20 years old patient who visited the dermatological department of the La Liga Contra el Cancer in San Pedro Sula, Honduras. The first time that he visited the doctor∩s office was for acne and he was prescribed with benzoyl peroxide and sunscreen. Two months later the patient came with his skin hyper pigmented and covered with thick oily crusts which disappeared with energetic cleansing with alcohol. When asked, the patient answered that he did not wash his face because he did not want to worsen his acne skin. Then we made the diagnostic as neglecta dermatosis. %K Dermatosis neglecta %K Costras %K Higiene %K Neglecta dermatosis %K Crusts %K Hygiene %U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1851-300X2012000300002