Unmasking Diogenes Syndrome.

Area of Science:

• Geriatrics
• Psychiatry
• Dermatology

Background:

• Diogenes syndrome is a behavioral disorder characterized by severe self-neglect, social withdrawal, and poor hygiene.
• Dermatitis passivata is a rare skin condition associated with prolonged immobility and neglect.

Purpose of the Study:

• To report a unique case of Diogenes syndrome presenting with dermatitis passivata.
• To highlight the potential psychological triggers and the importance of addressing underlying medical conditions.

Main Methods:

• Case report detailing clinical presentation, diagnostic findings, and treatment.
• Review of relevant literature on Diogenes syndrome and dermatitis passivata.

Main Results:

• The patient exhibited extreme self-neglect and a distinctive "mask" of dirt (carapace-like).
• Onset of neglect coincided with the discovery of a breast lump.
• Significant improvement in personal grooming and social engagement followed lump removal and counseling.

Conclusions:

• Diogenes syndrome can present with unusual dermatological manifestations like dermatitis passivata.
• Psychological distress and underlying physical conditions can trigger or exacerbate self-neglect.
• Multidisciplinary intervention, including medical and psychological support, is crucial for managing Diogenes syndrome.