International Journal of Trichology

CASE REPORT
Year
: 2022  |  Volume : 14  |  Issue : 3  |  Page : 109--111

Plica neuropathica: Bird's nest under dermatoscope


Dhruv Ramanlal Patel, Jinal Jainendrabhai Tandel, Pragya Ashok Nair 
 Department of Dermatology, Shree Krishna Hospital, Karamsad, Gujarat, India

Correspondence Address:
Pragya Ashok Nair
Department of Dermatology, Shree Krishna Hospital, Pramukhswami Medical College, Karamsad - 388 325, Gujarat
India

Plica polonica is a rare condition presenting as a mass of scalp hair with irregular twists and irreversibly entangled plaits, which are firm to hard impenetrable mass of keratin cemented together with dirt and exudates. The exact etiopathogenesis of plica neuropathica is not known, but it can be due to longitudinal splitting or weathering of hair shaft due to vigorous friction and frequent use of harsh shampoos and cleansers or long hair with poor hair care Drug-induced hair matting due to chemotherapeutic drugs and due to neurotic illness like hysteria, anxiety, to psychotic illness have also been reported. Dermatoscopy showed interwining of hair shaft with matting and honey-colored concretions mimicking “wrangled mesh of wires” appearance. The treatment of plica neuropathica involves cutting the matted hair and evaluating underlying psychiatric illness to prevent recurrence.


How to cite this article:
Patel DR, Tandel JJ, Nair PA. Plica neuropathica: Bird's nest under dermatoscope.Int J Trichol 2022;14:109-111


How to cite this URL:
Patel DR, Tandel JJ, Nair PA. Plica neuropathica: Bird's nest under dermatoscope. Int J Trichol [serial online] 2022 [cited 2022 Aug 14 ];14:109-111
Available from: https://www.ijtrichology.com/article.asp?issn=0974-7753;year=2022;volume=14;issue=3;spage=109;epage=111;aulast=Patel;type=0