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Case Reports in Dermatological Medicine
Volume 2013 (2013), Article ID 595192, 3 pages
http://dx.doi.org/10.1155/2013/595192
Case Report

Diogenes Syndrome: A Case Report

Department of Dermatology, IPGMER and SSKM Hospital, 244 A. J. C. Bose Road, Kolkata, West Bengal 700020, India

Received 21 November 2012; Accepted 5 January 2013

Academic Editors: I. D. Bassukas, H. Dobrev, and K. Jimbow

Copyright © 2013 Projna Biswas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cessation of normal skin cleansing seen in geriatric or self-neglected patients can cause accumulation of keratinous crusts on the skin. In the extreme end of this spectrum is a condition known as Diogenes syndrome (DS). These patients may have psychiatric disorders like paranoid disorders, mood affection, or temporofrontal dementia. Subjects are mainly the elderly but few cases in younger age group of patients have also been reported. Lesions of DS are usually found over upper central chest, back, and groin. In the young, lesions are mainly found over scalp, face, or arms. Absence of normal skin cleaning causes keratin and dirty debris to accumulate and with time form a thick shell. These debris can be secondarily infected by bacteria, fungus, and so forth. These skin lesions are not usually seen in individual with proper hygiene. We report a case of Diogenes syndrome in a 34-year-old young male patient who had associated schizophrenia.