International Journal of Trichology International Journal of Trichology
 Print this page Email this page Small font sizeDefault font sizeIncrease font size
  Home | About IJT | Editorial board | Search | Ahead of print | Current Issue | Archives | Instructions | Online submission | Subscribe | Advertise | Contact us | Login   

 Table of Contents  
Year : 2019  |  Volume : 11  |  Issue : 2  |  Page : 88-89  

Pili migrans

Dr. Pari's Skin & Hair Clinic, Chennai, Tamil Nadu, India

Date of Web Publication9-Apr-2019

Correspondence Address:
T Pari
58. Bazaar Road, Sadasiva Nagar, Madipakkam, Chennai - 600 091, Tamil Nadu
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijt.ijt_13_19

Rights and Permissions

How to cite this article:
Pari T. Pili migrans. Int J Trichol 2019;11:88-9

How to cite this URL:
Pari T. Pili migrans. Int J Trichol [serial online] 2019 [cited 2022 Jul 6];11:88-9. Available from: https://www.ijtrichology.com/text.asp?2019/11/2/88/255696


A 10-year-old boy presented with mildly irritating black material in the right sole. It was gradually migrating few centimeters over a period of 10 days. On examination, a thin, black material resembling hair shaft was seen embedded below the skin [Figure 1]. The black material was more visible after local anesthesia was injected [Figure 2]. Initially, a 23G needle was used near the center to remove the material, but it broke into two pieces. Hence, a slit was made parallel to the black material with a 23G needle, and it was extracted using small forceps. It was found to be a hair shaft [Figure 3]. Dermoscopy was not done. There was very minimal bleeding immediately after removal [Figure 4].
Figure 1: Black material before anesthesia

Click here to view
Figure 2: Black material more visible after local anesthesia

Click here to view
Figure 3: Hair shaft after removal

Click here to view
Figure 4: Immediately after removal

Click here to view

Cutaneous pili migrans is a rare skin condition, in which the hair shaft fragment is embedded and migrates in the superficial skin. It was first reported in 1957 by Yaffee.[1] Since 1957, 27 cases of cutaneous pili migrans have been described using various terms such as burrowing hair, creeping hair, migrating hair, and embedded hair.[2] Only two cases are reported from India.[3] Various locations such as the ankle, sole, toe, breast, cheek, neck, jaw, abdomen, and leg have been reported. Hair penetrates the skin owing to sharp hair tip or due to the broken epidermis at the point of entry of hair shaft.[4] The removal of the hair shaft heals the lesion completely. It is more common among barbers. Asian hair has high tensile strength and the largest cross-sectional area compared to that of all other ethnic groups.[5] This may be the reason for more cases reported from East Asian countries. Sometimes, hair embedded in the skin is found immobile. This may be called cutaneous embedded hair. If the hair migrates, the term cutaneous migrans is more suitable.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Yaffee HS. Imbedded hair resembling larva migrans. AMA Arch Derm 1957;76:254.  Back to cited text no. 1
Kim YH, Kim JI, Hwang SH, Min JH, Chae SW, Lee SJ, et al. Cutaneous pili migrans. Ann Dermatol 2014;26:534-5.  Back to cited text no. 2
Khare S, Sengar SS. Cutaneous pili migrans: A creeping eruption like condition easy to diagnose and cure. Med J Armed Forces India 2016;72:97-8.  Back to cited text no. 3
Luo DQ, Liu JH, Huang YB, He DY, Zhang HY. Cutaneous pili migrans: A case report and review of the literature. Int J Dermatol 2009;48:947-50.  Back to cited text no. 4
Franbourg A, Hallegot P, Baltenneck F, Toutain C, Leroy F. Current research on ethnic hair. J Am Acad Dermatol 2003;48:S115-9.  Back to cited text no. 5


  [Figure 1], [Figure 2], [Figure 3], [Figure 4]

This article has been cited by
1 High rank elliptic curves induced by rational Diophantine triples
Andrej Dujella, Juan Carlos Peral
Glasnik Matematicki. 2020; 55(2): 237
[Pubmed] | [DOI]


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
    Article Figures

 Article Access Statistics
    PDF Downloaded34    
    Comments [Add]    
    Cited by others 1    

Recommend this journal