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Hair and Scalp, Part Two: Case Quiz

 

 

Following his talk on learning hair and scalp conditions, Dr. Joseph English was joined by Dr. Matthew Zirwas to discuss various hair cases in an interactive panel. 

 

Following his talk on learning hair and scalp conditions, Dr. Joseph English was joined by Dr. Matthew Zirwas to discuss various cases in an interactive panel.  The cases are listed below.  Quiz yourself and scroll down to see what Drs. English and Zirwas discussed as the diagnosis.

Case 1

32 yo WF blonde hair, presents with a complaint of not being able to do anything with her hair, it’s not growing.  She blow-dries it and it won’t style, it just sticks up in front. Microscopic hair shaft picture shows a hollowing out in areas of the hair.

PMH: Mild depression

Meds: Effexor

Allergy: NKDA

 

What would be your diagnosis?

Trichorrhexis nodosa

Trichonodosa

Trichoptilosis

Bubble Hair

None of the Above

 

Case 2

20 year old white male presents with rapid onset male pattern hair loss.  Incidentally states his hair around his ear/sideburn has become curly.  He reports feeling ok in general, no other health complaints.

PMH: Acne

Meds: Tretinoin cream

Allergy: Sulfa

 

What would be your diagnosis?

Trichostasis spinulosa

Monilethrix

Whisker hair

Trichorrhexis invaginata

Uncombable hair syndrome

 

Case 3

6 year old boy, no pertinent PMH, presents with his frantic mother.  Her husband and her son were rough housing and he pulled a lot of hair out but it did not hurt.  The boy also has not had to have many hair cuts, his hair doesn’t grow.

Hair mount shows ragged cutical.

 

What’s the diagnosis?

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.  You notice weird axillary hair in the armpit and the smell caught you “off guard.”  You got closer and noticed concretions.

No PMH, no allergies.

 

What’s the diagnosis?

White Piedra

Tinea imbricata

Trichomycosis axillaris

Body Live

Hair casts

 

 

Case 1: Answer

Bubble Hair.

This happens with high heat on hair.

 

Case 2: Answer

Whisker Hair.

Varying of acquired kinking of the hair.  Sometimes called alotrichia.

 

Case 3: Answer

Loose Anagen Hair Syndrome.

Anagen hair you will see the outer root sheath with it.  Telegen hair looks like a chive bulb.

 

Case 4: Answer

Trichomycosis axillaris.

 




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