![]() Diogenes syndrome has been described in different psychiatric literature and very few cases associated with dermatological presentation have been reported. He used to follow some ideas like “life according to nature,” “self-sufficiency,” “freedom from emotion,” “lack of shame,” “outspokenness,” and “contempt for social organization”. He kept his need for clothing and food to a minimum by begging. DS is named after the Greek Philosopher “Diogenes of Sinope” (4th century BC) who taught about cynicism philosophy. Introductionĭiogenes syndrome (DS) is characterized by self-neglect and social withdrawal with abnormal collecting pattern, tendency to hoard excessively (syllogomania), and refusal of help, wich may be precipitated by stressful event. We report a case of Diogenes syndrome in a 34-year-old young male patient who had associated schizophrenia. These skin lesions are not usually seen in individual with proper hygiene. ![]() These debris can be secondarily infected by bacteria, fungus, and so forth. ![]() Absence of normal skin cleaning causes keratin and dirty debris to accumulate and with time form a thick shell. In the young, lesions are mainly found over scalp, face, or arms. Lesions of DS are usually found over upper central chest, back, and groin. Subjects are mainly the elderly but few cases in younger age group of patients have also been reported. These patients may have psychiatric disorders like paranoid disorders, mood affection, or temporofrontal dementia. In the extreme end of this spectrum is a condition known as Diogenes syndrome (DS). Cessation of normal skin cleansing seen in geriatric or self-neglected patients can cause accumulation of keratinous crusts on the skin. ![]()
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