We report this case to emphasis on the value of trichoscopy in diagnosing woolly hair syndrome, without using light microscopy. Very few cases of familial wooly hair syndrome have been reported in non-negroid races. Woolly hair syndrome is most pronounced in childhood and becomes less severe with adulthood.
Our case was likely to be autosomal recessive type of woolly hair syndrome without systemic involvement. Autosomal recessive variant can be syndromic and associated with palmoplantar hyperkeratosis and cardiovascular abnormalities. classified woolly hair into three variants: woolly hair nevus, autosomal dominant hereditary woolly hair, and autosomal recessive familial woolly hair.
In woolly hair syndrome, the term “woolly hair” refers to an abnormal variant of fine, tightly curled hair that often exhibits decreased pigmentation. as winged human females with living venomous snakes in place of hair. (a) Crawling snake appearance of hair under dermoscopy (20×) (b) Evenly pigmented hair with difference in hair shaft diameter and “crawling snake” appearance In Greek mythology, Medusa also called Gorgo, was one of the three monstrous Gorgons.
#Medusa hair skin#
His eyebrows, eyelashes, body hair, and skin were normal in appearance. On physical examination, his scalp hairs were evenly pigmented, coarse-textured, and extremely curly. He was born out of a first-degree consanguineous marriage and there was a history of similar problem in his sister. He complained that the hairs were easily broken, slow-growing, and that they seldom required cutting. We report here a case of a 25-year-old male, who presented with abnormal hair on scalp since infancy. Videodermoscopy of hair and scalp (trichoscopy) is a new method, which allows viewing hair shafts in vivo in many-fold magnification without the need of pulling hair for diagnostic purposes of examination. Thus, the usual diagnostic method is light microscopy and every time about 50 hairs are plucked to decrease the risk of missing a hair with the characteristic abnormality under light microscopy.ĭermoscopy is a method based on epiluminescence microscopy, which is used to visualize living skin in magnification. They often lack macroscopic features, which would enable easy diagnosis in medical practice. Hair shaft abnormalities encompass a group of congenital or acquired alterations, which involve the hair shaft. Hair changes may be a significant finding or even the initial presentation of a syndrome giving the clue to the diagnosis, in diseases such as trichothiodystrophy, Netherton syndrome, or Woolly hair syndrome. Hair abnormalities are extremely common in genoder-matoses.
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