Presentation
Uncombable hair syndrome Pili annulati Monilethrix Loose anagen hair syndrome Menkes kinky hair syndrome Case 4 27 year old white male presents for full body skin exam. [dermcast.tv]
Congenital TN may be present at birth, appear within the first year of life, or present as a symptom of an underlying metabolic disorder like argininosuccinic aciduria, Menkes’ kinky hair syndrome, Netherton syndrome, and Laron syndrome at the age of [capillaroscopia.it]
Abstract The clinical findings in three new cases of acquired progressive kinking of the hair, all in females, are reported, and a review of all previously reported cases is presented. [ncbi.nlm.nih.gov]
It is present in about one-third of the literature MRIs and in more than two-thirds of our sample. [ajnr.org]
Patients presenting with woolly hair must be examined completely to rule out cardiofaciocutaneous and Noonan syndrome. We present a 5-year-old with Type A woolly hair nevus. [ijpd.in]
Entire Body System
- Swelling
The exposed cortical fibers then separate and fray causing the distinctive nodular swelling of the hair shaft that look like two paintbrushes stuck against each other at the point of the nodular swelling. [hairtx.com]
If your skin reacts to an outside agent, you may notice scaly red patches that itch occurring on or around the scalp, sometimes along with swelling and the appearance of vesicles. [blackhairmedicalexpert.com]
However, in isolated spots along the length of a fiber swelling and/or fraying can be seen. These focal defects develop where there is an absence of cuticle. Continued Causes of trichorrhexis nodosa can be congenital or acquired. [webmd.com]
[…] along the shafts, particularly associated with areas of breakages (trichorrhexis nodosa); nodose swellings resembling bamboo shoots (trichorrhexis invaginata); pigment clumping or hypopigmentation; longitudinal canalicular depressions with kidney shaped [jcp.bmj.com]
and sulcal effacement, while cytotoxic edema is likely due to the excessive neuronal stimulation with alteration of cell membrane permeability and neuronal/glial swelling. [ajnr.org]
- Developmental Delay
Mild MD is a moderate form of the disease, in which cerebellar ataxia and moderate developmental delay predominate [ 4 ]. [bmcpediatr.biomedcentral.com]
Then symptoms become increasingly noticeable: poor growth, developmental delay, seizures, weak muscles, and low body temperature. Many boys die before their third birthdays. [dnascience.plos.org]
- Fever
These hairs can appear in normal individuals or be related to a fever or other process that can transiently decrease cortical mitotic activity followed by overcompensation. [hairtx.com]
[…] skin lesions occur: 1) As paraneoplastic syndromes in Hodgkin's disease, mycosis fungoides, other malignant lymphomas, and visceral carcinomas 2) As a concomitant symptom in infectious diseases, e.g., leprosy, tuberculosis, AIDS, typhoid and typhus fever [web.sapmed.ac.jp]
- Pathologist
[…] the digestive system (gastroenterologists), feeding specialists, disorders of the urinary tract (urologists), and abnormalities of the ears, nose, and throat (otolaryngologists); pediatric heart specialists (cardiologists); dental specialists; speech pathologists [rarediseases.org]
Liver, Gall & Pancreas
- Jaundice
Intraabdominal cysts in children 512 Migratory peritoneal calcifications 514 Peritoneal pseudotumors 515 The Liver 1 Hepatomegaly in the newborn period 516 Hepatomegaly in children General overview 517 Hepatomegaly with portal hypertention and obstructive jaundice [books.google.com]
Clinical examination General physical examination Dysmorphism: Zellweger syndrome, Neonatal adrenal leukodystrophy, coarse facial features(MPS) OFC –microcepaly (gray matter disease) Megaenchepaly – certain white mater disorder(Cannavan & Alexander) Jaundice [authorstream.com]
Musculoskeletal
- Fracture
Oblique Fractures- Tapered Fracture Fractures of the hair that cause a pencil point appearance are due to inhibition of nucleic acid and protein synthesis and therefore mitosis during anagen. [hairtx.com]
Clinically, these fracture points on the hair shaft may be confused with nits of head lice or hair casts. [euroformhealthcare.biz]
But the rigid twisting of the hair fiber through 180 degrees creates stress, which leads to fractures in the cuticle and internal cortex layer of the hair shaft. [hairdiseases.com]
When a weak hair shaft partially fractures and the cortical cells fragment, uneven spurs form at the fracture point. [dermnetnz.org]
In this study, even very gentle bending of the hair, using a pair of tweezers, resulted in multiple fractures of the hair shafts. [drgreene.com]
Skin
- Alopecia
The pathological features of the affected scalp were consistent with the diagnosis of the early stages of androgenetic alopecia. In all patients, APKH evolved into androgenetic alopecia during the follow-up period. [jamanetwork.com]
In some patients, APKH developed into androgenic alopecia. There is a decreased anagen to telogen ratio. [hairstylessolutions.blogspot.com]
[…] and alopecia Figure 10.68. [5minuteconsult.com]
Alopecia --- An Overview Seymour M. Weaver, III, M.D. Board Certified Dermatologist Alopecia is the medical term to describe the loss of hair from the head or body. [blackhairmedicalexpert.com]
He is currently author of 180 peer-reviewed scientific publications and author or editor of a number of textbooks on hair, including the Springer books Male Alopecia: Guide to Successful Management (2014), Female Alopecia (2013) Aging Hair (2010), and [books.google.com]
- Brittle Hair
Seen under a microscope, the hair fibers have lost their cuticle covering over the nodes while the constrictions keep their cuticle. The brittle hair easily breaks once it is exposed above the skin and the fibers rarely grow very long as a result. [webmd.com]
On light microscopy, the abnormal hairs are seen to be in the anagen phase and often appear twisted with longitudinal grooves and ruffled cuticles. Loose anagen ( hair ) syndrome results in short, brittle hair. [dermnetnz.org]
Trichorrhexis invaginata is caused by brittle hairs and is characteristic of hair shaft change in Netherton syndrome. It appears as “ball-and-socket” under trichoscopy. [idoj.in]
[…] and scalp is also due in part to decreased activity of sebaceous glands in these patients. 14 These structural variations manifest clinically as the woollier, drier, and more brittle hair of Africans as compared with other ethnic groups. [jddonline.com]
“Children as young as 3 months old start experiencing seizures, their hair becomes very brittle, tangled and kinky — in fact this disorder is also known as the ‘kinky hair syndrome.’ [bcbp.tamu.edu]
- Dry Hair
See All 2 Answers 1 Answer A If your loved one has dry hair, you should help them look for hair care products that have a pH of around 5, which some people believe is best for dry hair. [sharecare.com]
Certain things you do to your hair -- such as blow-drying, over-brushing, perming, or excessive chemical use -- appear to trigger the condition. [medigoo.com]
Hair shaft alterations often result from structural changes within the hair fibers and cuticles which may lead to brittle and uncombable hair. The hair of patients with hair shaft diseases feels dry and looks lusterless. [karger.com]
- Ulcer
[…] stomach in infants 476 Antral outlet obstruction of the stomach 477 Coarse mucosal folds or mucosal irregularities of the stomach 478 Pneumatosis or air in the gastric wall 479 Duodenal obstruction with or without its luminal distention 480 Duodenal ulcer [books.google.com]
This can severely irritate the stomach lining, leading to severe ulceration. It is possible to die from trichophagia. Treating trichotillomania is difficult; therapists can probably help more than dermatologists. [webmd.com]
The most prominent hair constrictions have been reported following a bleeding duodenal ulcer. Bayonet Hairs Bayonet hairs show a characteristic 2 to 3 mm spindle shaped, hyperpigmented expansion of the hair cortex just before a tapered tip. [hairtx.com]
Psychiatrical
- Fear
Allergy relief Devitalizing viral, bacterial, parasitic, and fungal infections Unburdening and strengthening the immune system Relieving pain Detoxifying the body Calming the nervous system Releasing fears and phobias Uncovering and removing obstacles [healingbyquantumleaps.com]
This was one time I knew not to move for fear of branded teethmarks on the neck or ears. Not today! It just couldn't happen, especially this morning. From The Bamboo Forest by Irasha Pearl. 1) Browder, BF, 81... (Part of ) Page 14. [suzar.com]
Yet the changing industry has some customers fearing they’re the ones who are being shunned. The influx of money — and competition — has led some in the natural hair industry to prioritize the most traditional of business goals: growth. [latimes.com]
This was one time I knew not to move for fear of branded teethmarks on the neck or ears. Not today! It just couldn't happen, especially this morning. From The Bamboo Forest by Irasha Pearl [/SIZE]. [lipstickalley.com]
Neurologic
- Trichotillomania
Continued Traction alopecia and trichotillomania In terms of the mechanical action behind hair loss, traction alopecia and trichotillomania are exactly the same. The hair is plucked out of the skin leaving clear bald patches or diffuse, thin hair. [webmd.com]
Madarosis, poliosis, alopecia areata, and trichotillomania. B: The patient's scalp shows areas of patchy alopecia and whitening of the remaining hair. [5minuteconsult.com]
Joined: Aug 25, 2008 Messages: 1,087 Likes Received: 11 Dislikes Received: 0 I've heard about it like one might have heard of trichotillomania, in that I know what it is, but I don't know a great deal about it. [hairlosstalk.com]
Trichotillomania This condition results from obsessive hair pulling behaviors, and typically shows up in patchy sections of baldness. [blackhairmedicalexpert.com]
Trichomalacia Trichomalacia represents the damage to the hair shaft that occurs on the underlying anagen hair from repeated hair plucking that occurs from trichotillomania. The hair shaft is twisted and misshapen with irregular melanin deposits. [hairtx.com]
Treatment
Furthermore, advancement in treatment of novel treatment extend profitable opportunities to the market players in the forecast period. [marketwatch.com]
The description of this new mutation and the response of the patient to Cu-His treatment will contribute to the growing body of knowledge about treatment response in Menkes disease. [bmcpediatr.biomedcentral.com]
Treatment. J Am Acad Dermatol. 2010;62(2):191–202. [5minuteconsult.com]
Long-Term Clinical Trials Giving boys copper is a logical treatment approach. [dnascience.plos.org]
Treatment There are no treatments or professional hair care products for pili torti, but sometimes the condition can improve spontaneously after a period of time. Monilethrix Another common hair disorder is monilethrix. [hairdiseases.com]
Prognosis
PMID: 30810707 Prognosis Freidl P, Rauter L, Moser R, Kerbl R Klin Padiatr 2015 Jan;227(1):33-4. Epub 2014 Jan 21 doi: 10.1055/s-0033-1363246. PMID: 24449426 Clinical prediction guides Urich H Clin Exp Neurol 1984;20:203-15. [ncbi.nlm.nih.gov]
In typical GS, hypogammaglobulinemia and B-cell depletion are observed. 1–2) Preventing infection improves the prognosis of GS and, to date, cyclical gamma globulin replacement therapy is considered necessary. [yumpu.com]
Trichorrhexis Nodosa Prognosis This non-contagious hair problem can be successfully cured within 4 years, if mechanical and chemical damages do not occur again. [medicalsubstance.com]
Tinea capitis, alopecia areata, and traction alopecia Hair will regrow, may take months There is a poorer prognosis with alopecia universalis. Telogen ef... Alkhalifah A, Alsantali A, Wang E, et al. Alopecia areata update: part II. Treatment. [5minuteconsult.com]
Acquired hair kinking on the androgen-dependent areas of the scalp represents a modality of onset of androgenetic alopecia associated with poor prognosis. [jamanetwork.com]
Etiology
[from ORDO] Etiology JAMA Dermatol 2019 Apr 1;155(4):488. doi: 10.1001/jamadermatol.2018.4677. PMID: 30810707 Freidl P, Rauter L, Moser R, Kerbl R Klin Padiatr 2015 Jan;227(1):33-4. Epub 2014 Jan 21 doi: 10.1055/s-0033-1363246. [ncbi.nlm.nih.gov]
[…] be an isolated finding or may present as part of a syndrome, such as Menkes kinky hair syndrome, trichothiodystrophy, or argininosuccinic aciduria. 20-22 Acquired TN, resulting from repeated trauma to the hair shaft, is much more common. 17 Specific etiologies [jddonline.com]
[…] interstitial and granulonodulo alveolar pattern 324 Interstitialreticular pulmonary pattern 326 Disseminated interstitial pneumonitis 327 The miliary pattern of pneumonia 328 Short linear andor wedgeshaped densities 329 Pulmonary edema in infancy and childhood Etiology [books.google.com]
Epidemiology
ABSTRACT:Cortexolone 17α-propionate (clascoterone) is a novel topical androgen antag... more Skin Cancer Epidemiology and Sun Protection Behaviors Among Native American.... [jddonline.com]
Zhang W: Epidemiological and aetiological studies on hair casts. Clin Exp Dermatol 1995;20:202–207. Gummer CL: Bubble hair: A cosmetic abnormality caused by brief, focal heating of damp hair fibres. Br J Dermatol 1994;131:901–903. [karger.com]
Pathophysiology
Part II: The Pathophysiology of Pigmentary Disorders. Section 3: An Overview of Human Skin Color and itsDisorders. 26 A More Precise Lexicon for Pigmentation, PigmentaryDisorders, and "Chromatic" Abnormalities ( James J. [amazon.it]
The pathophysiological mechanism resulting in this morphological abnormality has been examined using electron microscopic and histochemical methods, and is thought to be a consequence of “softening” of the hair cortex, possibly secondary to abnormal composition [jcp.bmj.com]
Prevention
The question of prevention is of particular importance, since hereditary deafness has not been and is not likely to be amenable to any kind of therapy. [jamanetwork.com]
Genetic mechanisms control the incorporation of copper into apoproteins and the processes that prevent toxic accumulation of copper in the body. Copper absorbed in excess of metabolic requirements is excreted through bile. [merckmanuals.com]
In typical GS, hypogammaglobulinemia and B-cell depletion are observed. 1–2) Preventing infection improves the prognosis of GS and, to date, cyclical gamma globulin replacement therapy is considered necessary. [yumpu.com]
It can also be prevented by following a good regimen for hair. Although hair loss is common, resorting to natural therapies can make it grow back again. [medicalsubstance.com]
All cases eventually evolved into androgenetic alopecia within a two to nine-year period, and 5% Minoxidil was ineffective in preventing the eventual hair loss. The effects of finesterinde (Propecia) have not been recorded in cases of APKH. [hairstylessolutions.blogspot.com]