A rare association of pili multigemini and rolled hairs in a young female

Abstract

Pili multigemini and circle hairs (CHs) both are hair shaft deformities. Being asymptomatic and benign they are often under-reported in medical science. Till now, literature showed the involvement of only males. CHs are seen in obese individuals with sedentary lifestyle and pili multigemini is seen in adults over beard and children over scalp. Cosmetic concern in a young female with asymptomatic hyperpigmented papular lesions brought her to dermatology clinic. Apart from histopathology, dermatoscopy is a noninvasive technique that can be utilized for the evaluation of various hair disorders, especially like this.

Circle hairs involving the extremities in a young girl

“…A rare association of pili multigemini and CHs are reported in a young girl with dermatoscopic changes like ours. [ 6 ]…”

Disorders of Hair

“…• Definition: Circle hair is classified as hair growth disorders (Nair et al 2016) and uncommon subtype of ingrown hair (Durmaz and Demirkesen 2019), in which hairs grow in a circular and spiraliform manner. Commonly, this condition involves the thigh in old, hairy, and obese men.…”

Improvement in Hair Loss and Better Hair Quality with Vitamin Therapy in Monilethrix

“…Genetic factor is suspected but not proven. It is a disorder of follicular hyperkeratosis [27,28] associated with scurvy, ichthyosis, keratosis pilaris, xerosis, atopic dermatitis, palmoplantar keratoderma, neurodermatitis and corticosteroid therapy [27,28]. Treatment of the underlying condition is indicated, which most often translates into nutritional correction.…”

“…Tightly coiled hair from below the epidermis can sometimes be extracted to roll out but it recoils back into the circular track. There is no inflammation, the hair shaft is thin, weak, unable to penetrate the stratum corneum, thus forming horizontal tracks [27][28][29][30][31]. Commonly seen in elderly, obese, hairy males over the thighs.…”