Abstract
Terra firma-forme dermatosis (also called “Duncan’s dirty dermatosis”) and dermatosis neglecta (or “unwashed dermatosis”) are two nosological entities characterized by hyperpigmented lesions with a “dirty” appearance. Both conditions are infrequently described in literature, but their frequency in the general population is probably underestimated, because of missed identification by physicians and/or missed reporting due to their benign nature and rapid and complete resolution, in almost all cases with simple therapeutic measures. This chapter describes the morphological characteristics of the lesions and clinical history of the two conditions, which are the basis for their recognition and distinction from other hyperpigmented skin diseases, as well as the diagnostic tests which may be used in common practice to confirm diagnostic suspicion and the histopathological aspects. Finally, an overview is given of standard and alternative treatments, used for the treatment of cases with peculiar localizations and/or particularly extensive or severe.
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References
Duncan WC, Tschen JA, Knox JM. Terra firma-forme dermatosis. Arch Dermatol. 1987;123:567–9.
Aslan NÇ, Güler Ş, Demirci K, Isiyel E. Features of terra firma-forme dermatosis. Ann Fam Med. 2018;16:52–4.
Sechi A, Patrizi A, Savoia F, Leuzzi M, Guglielmo A, Neri I. Terra firma-forme dermatosis: a systematic review. Int J Dermatol. 2021;60:933–43.
O’Brien TJ, Hall AP. Terra firma-forme dermatosis. Australas J Dermatol. 1997;38:163–4.
Raveh T, Gilead LT, Wexler MR. Terra firma-forme dermatosis. Ann Plast Surg. 1997;39:542–5.
Neri I, Savoia F, Tengattini V, Sechi A, Rucci P, Patrizi A. Terra firma-forme dermatosis is underestimated in children and is associated with atopic dermatitis. J Eur Acad Dermatol Venereol. 2018;32:e421–2.
Guarneri C, Guarneri F, Cannavò SP. Terra firma-forme dermatosis. Int J Dermatol. 2008;47:482–4.
Borgia F, Cannavò SP. Terra firma-forme dermatosis. Clin Case Rep. 2014;2:19.
Santarpia M, Guarneri C. Terra firma-forme dermatosis. Eur J Intern Med. 2016;34:e1–2.
Unal E, Guarneri C, Chokoeva AA, Wollina U, Tchernev G. Terra firma-forme dermatosis. Wien Med Wochenschr. 2017;167:66–9.
Unal E, Lotti J, Fioranelli M, Roccia MG, Lotti T, Guarneri C, et al. Duncan’s dermatosis: from the “terra firma-forme” to a possible syndromic condition. The story of a dirty disease. J Biol Regul Homeost Agents. 2017;31(2 Suppl. 2):39–44.
Panchal K, Bhalla N, Salunke P, Jerajani H. Extensive terra firma forme dermatosis [TFFD]: A rare presentation. Indian Dermatol Online J. 2015;6:458–9.
Chen HS, Li FG, Zhu Y, Wang T, Fan YM. Penile terra firma-forme dermatosis in a child: ultrastructural observation and topical ethacridine lactate and tacrolimus treatment. Eur J Dermatol. 2019;29:222–4.
Greywal T, Cohen PR. Non-invasive methods to establish the diagnosis of terra firma-forme dermatosis: the SMART (skin modified by alcohol rubbing test) evaluation and dermoscopy. Dermatol Online J. 2016; 22.
Cohen PR. Terra firma-forme dermatosis: rubbing with alcohol establishes the diagnosis. Skinmed. 2020;18:51–2.
Abdel-Razek MM, Fathy H. Terra firma-forme dermatosis: case series and dermoscopic features. Dermatol Online J 2015; 21.
Errichetti E, Stinco G. Dermoscopy in terra firma-forme dermatosis and dermatosis neglecta. Int J Dermatol. 2017;56:1481–3.
Ozturk DE. Chalk-white fluorescence under wood light in a case of terra firma-forme dermatosis. Clin Exp Dermatol. 2021;46:165–6.
Lora V, Ardigò M, Catricalà C, Cota C. Terra firma-forme dermatosis. J Cutan Pathol. 2014;41:141–3.
Poskitt L, Wayte J, Wojnarowska F, Wilkinson JD. ‘Dermatitis neglecta’: unwashed dermatosis. Br J Dermatol. 1995;132:827–9.
Pérez-Rodríguez IM, Muñoz-Garza FZ, Ocampo-Candiani J. An unusually severe case of dermatosis neglecta: a diagnostic challenge. Case Rep Dermatol. 2014;6:194–9.
Saha A, Seth J, Bindal A, Samanta AB, Gorai S, Sharma A. Dermatosis neglecta: an increasingly recognized entity with review of literature. Indian J Dermatol. 2016;61:450–2.
Ruiz-Maldonado R, Durán-McKinster C, Tamayo-Sánchez L, Orozco-Covarrubias ML. Dermatosis neglecta: dirt crusts simulating verrucous nevi. Arch Dermatol. 1999;135:728–9.
Qadir SN, Ejaz A, Raza N. Dermatosis neglecta in a case of multiple fractures, shoulder dislocation and radial nerve palsy in a 35-year-old man: a case report. J Med Case Rep. 2008;2:347.
Gómez-Fernández C, Casado Verrier B, Sanz Canalejas L, Moreno Alonso de Celada R, Herranz Pinto P. Cornflake-like scales on the ankles and feet. Cleve Clin J Med. 2010;77:8489.
Moon J, Park HS, Yoon HS, Cho S. A case of dermatosis neglecta caused by an inappropriate habit of applying a moisturizer. Ann Dermatol. 2017;29:657–9.
Piccolo V, Russo T, Delorenze LM, Argenziano G. Perinevic dermatosis neglecta: clinical and dermoscopic description. An Bras Dermatol. 2019;94:361–2.
Erker E, Sezer E. Dermatosis neglecta presenting as a brown verrucous plaster. Acta Dermatovenerol Croat. 2012;20:123–5.
Richter LL, Miller RM, Hillman JD, Chiu MW. Bilateral thick crusts on the legs. Int J Dermatol. 2013;52:133–5.
Saha A, Seth J, Sharma A, Biswas D. Dermatitis neglecta – a dirty dermatosis: report of three cases. Indian J Dermatol. 2015;60:185–7.
Lucas JL, Brodell RT, Feldman SR. Dermatosis neglecta: a series of case reports and review of other dirty-appearing dermatoses. Dermatol Online J. 2006;12:5.
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Guarneri, C., Guarneri, F., Cannavò, S.P. (2021). Terra Firma-Forme Dermatosis and Dermatosis Neglecta. In: Rongioletti, F., Smoller, B.R. (eds) New and Emerging Entities in Dermatology and Dermatopathology. Springer, Cham. https://doi.org/10.1007/978-3-030-80027-7_8
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