Differential Diagnosis > Distribution > Scalp > Hair Shaft Abnormalities

Hair Shaft Abnormalities

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Syndrome:

Hair grossly:

Hair microscopically:

(or Hair Shaft Abnormaity)



 

 

 

Uncombable Hair Sx

“spun glass” hair

EM = pili trianguli et canaliculi

 

 

 

trichothiodystrophy

sparse brittle hair

trichoschisis

 

 

polarized light tigertail hair

       

 

 

 

 

 

Nethertons syndrome

 

Trichorrhexis Invaginata

 

 

 

(Pili annulati)

scintillating appearance

alternating areas of light (normal)

 

 

and dark (gas-filled) hair

 

 

 

Menkes kinky hair syndrome

sparse brittle hair

pili torti

 

 

 

(P)IBIDS

sparse brittle hair

trichothiodystrophy

 

 

 

Monilethrix

sparse brittle hair

periodic beading

 

 

 

Björnstads syndrome

sparse brittle hair

pili torti

 

 

 

(trichorrhexis nodosua)

tiny white “beads”

ends

cortical fibers splayed out at both

 

 

 

(pili torti)

sparse brittle hair

twisted hairs

 

 

 

Other:

trichoptilosis “split end”
Pohl-Pinkus constriction analogous to Beaus lines in nails