2012
DOI: 10.4103/0974-7753.96907
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Is Propionibacterium acnes associated with hair casts and alopecia?

Abstract: We report a series of four patients who presented with complaints of diffuse non-scarring alopecia. They had similar clinical features of alopecia, hyperseborrhea, and distinct keratinaceous hair casts that encircled the hair shafts. Propionibacterium acnes was isolated from two of the patients’ scalp, and Gram-positive, Giemsa-positive bacteria were seen in the hair follicles in the scalp biopsy of one of the patients. The patients’ symptoms did not respond to standard treatment for seborrheic dermatitis, but… Show more

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Cited by 20 publications
(22 citation statements)
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“…These findings are consistent with the results of our previous study, where we reported the presence of a bacterial shift on the scalp of subjects suffering from AA (Pinto et al, 2019). Furthermore, this effect was found to be mainly exerted by Propionibacterium and Staphylococcus genera among AA subject microbiomes, a finding that was also reported in other studies (Wang et al, 2012;Juhász and Atanaskova Mesinkovska, 2019). A decrease in some species such as Candidatus Aquiluna rubra and Staphylococcus epidermidis and an increase in the Neisseria genus at the dermis level revealed specific characteristics associated with AA.…”
Section: Discussionsupporting
confidence: 93%
“…These findings are consistent with the results of our previous study, where we reported the presence of a bacterial shift on the scalp of subjects suffering from AA (Pinto et al, 2019). Furthermore, this effect was found to be mainly exerted by Propionibacterium and Staphylococcus genera among AA subject microbiomes, a finding that was also reported in other studies (Wang et al, 2012;Juhász and Atanaskova Mesinkovska, 2019). A decrease in some species such as Candidatus Aquiluna rubra and Staphylococcus epidermidis and an increase in the Neisseria genus at the dermis level revealed specific characteristics associated with AA.…”
Section: Discussionsupporting
confidence: 93%
“…Our results agree with Pinto's work [20], showing an increase in C. acnes and a decrease in S. epidermidis, suggesting the role of the Cutibacterium: Staphylococcus balance in AGA. Wang et al [9] have already noted the relationship between C. acnes and alopecia. In fact, C. acnes is able to synthesize many enzymes involved in the metabolism of porphyrins that, once activated, may contribute to oxidation and follicular inflammation.…”
Section: Discussionmentioning
confidence: 94%
“…There are multiple case reports in the literature showing casual association of HC with lichen planopilaris, pseudopelade of Brocq,[ 9 ] following psychological trauma,[ 10 ] propionibacterium acne,[ 11 ] and familial preponderance. [ 12 ]…”
Section: Case Discussionmentioning
confidence: 99%