International Journal of Trichology International Journal of Trichology
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   2015| January-March  | Volume 7 | Issue 1  
    Online since March 18, 2015

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Hair cosmetics: An overview
Maria Fernanda Reis Gavazzoni Dias
January-March 2015, 7(1):2-15
DOI:10.4103/0974-7753.153450  PMID:25878443
Hair cosmetics are an important tool that helps to increase patient's adhesion to alopecia and scalp treatments. This article reviews the formulations and the mode of action of hair cosmetics: Shampoos, conditioners, hair straightening products, hair dyes and henna; regarding their prescription and safetiness. The dermatologist's knowledge of hair care products, their use, and their possible side effects can extend to an understanding of cosmetic resources and help dermatologists to better treat hair and scalp conditions according to the diversity of hair types and ethnicity.
  78 60,259 681
Hair follicle plasticity with complemented immune-modulation following follicular unit extraction
Reza P Azar, Alexander H Thomas, Gerd Lindner
January-March 2015, 7(1):16-23
DOI:10.4103/0974-7753.153451  PMID:25878444
Background: During hair transplantation as an effective therapy for androgenetic alopecia, hair follicles were typically trans-located from the nonaffected occipital to the balding frontal or vertex region of the scalp. Although this is an autologous intervention, the donor and recipient hair follicle tissue differ in composition and local environment. Settings and Design: In two case studies, we investigated the changes in hair follicle morphology and the immune status of scalp and body hair follicles from different origins transplanted to the eyebrows and the frontal scalp using follicular unit extraction. Results: Quantitative histomorphometry and immunohistochemistry revealed a transformation in hair follicle length and dermal papilla size of the scalp, chest and beard hair follicles, which had been re-extracted after a 6-month period posttransplantation. Furthermore, a significant infiltration of B and T lymphocytes as well as macrophages could be observed most prominently in the infundibulum of transplanted hair follicles. Conclusion: The presented results demonstrate that hair follicle units from different body sites are capable to replace miniaturized or degraded hair follicles in different recipient areas like scalp or eyebrows as they keep their intrinsic capability or acquire the potential to readjust plastically within the beneficiary skin region. The essential secretory crosstalk underlying the observed tissue remodeling is possibly mediated by the infiltrating immune cells.
  3 4,900 91
Acute diffuse and total alopecia of the female scalp associated with borrelia-infection
Ekta K Bhardwaj, Ralph Michel Trüeb
January-March 2015, 7(1):26-28
DOI:10.4103/0974-7753.153454  PMID:25878446
A case of acute diffuse and total alopecia of the female scalp associated with Borrelia-infection (acrodermatitis chronica atrophicans) is presented. Today, acute diffuse and total alopecia of the female scalp is recognized as a distinct variant of alopecia areata (AA) predominantly observed in women. Cases of AA have formerly been reported in association with infections. AA is understood to represent an organ-specific autoimmune disease of the hair follicle. It is conceivable that the antigenic stimulus provided by the infection may act as a trigger for alopecia. Vice versa, alopecia may act as a marker for detection of undiagnosed infection. Treatment of the patient with intravenous ceftriaxone led to the resolution of cutaneous borreliosis, and in addition to topical clobetasol foam to complete recovery of hair.
  2 8,043 44
Pseudofolliculitis corporis: A new entity diagnosed by dermoscopy
Manas Ranjan Puhan, Bharati Sahu
January-March 2015, 7(1):30-32
DOI:10.4103/0974-7753.153453  PMID:25878447
Pseudofolliculitis mainly affects the beard area, but it can occur in any area of hair-bearing skin when traumatic methods like shaving or plucking are used to remove the hair. It can be a simple cosmetic problem or a disturbing medical condition for which the dermatologist must be prepared. It can develop in areas of shaving or depilation and has been seen in the pubic region or the axilla, where it is common to find curly hair that emerges at an acute angle. Here, we are reporting a case of pseudofolliculitis over back, termed as pseudofolliculitis corporis. He used to put a pillow behind the back while driving and the pressure caused the pseudofolliculitis. The diagnosis was confirmed by dermoscopy, which is a simple office procedure. Patient was advised to stop using the pillow and improved with topical adapalene and clindamycin gel for 15 days. This entity has not been described in the literature.
  2 3,467 47
A serpentine inside eccrine spiradenoma: A new trichoscopic sign
Balachandra S Ankad, Savitha L Beergouder, Vijay Domble, L Sujana
January-March 2015, 7(1):38-40
DOI:10.4103/0974-7753.153460  PMID:25878450
Trichoscopy being an in vivo technique aids in magnification of cutaneous structures with appropriate pattern and color. A female presented with erythematous tumor on scalp. Histopathology showed features of eccrine spiradenoma. Authors evaluated trichoscopic patterns in eccrine spiradenoma. It demonstrated specific trichoscopic pattern in the form of linear red structure appearing as 'serpentine'. Authors believe that this new trichoscopic pattern is hallmark of eccrine spiradenoma and can be utilized in the diagnosis.
  2 4,369 45
Is hair transplantation always successful in secondary cicatricial alopecia?
Binod Kumar Thakur, Shikha Verma
January-March 2015, 7(1):43-44
DOI:10.4103/0974-7753.153464  PMID:25878452
  2 2,787 52
Monilethrix with holt-oram syndrome: Case report of a rare association
Vivek Shah, GK Tharini, K Manoharan
January-March 2015, 7(1):33-35
DOI:10.4103/0974-7753.153455  PMID:25878448
Congenital hypotrichosis may be due to a number of causes and may have multiple systemic associations. A child born of second-degree consanguineous marriage was found to have monilethrix as the cause of congenital hypotrichosis. A detailed systemic evaluation in the child revealed atrial septal defect and a hypoplastic right thumb leading to a diagnosis of coexisting Holt-Oram syndrome.
  1 3,176 55
Very early onset trichotillomania presenting with recurrent trichobezoar: Conventional wisdom questioned
Vikas Menon, Subahani Shaik, Pazhanivel Mohan
January-March 2015, 7(1):36-37
DOI:10.4103/0974-7753.153458  PMID:25878449
Trichotillomania (TTM), a disorder characterized by compulsive hair pulling, is undergoing a conceptual and nosological re-evaluation. Little long-term information is available about this condition when it strikes in early childhood. Trichobezoar, an ingestional foreign body lodged in the gastrointestinal tract composed of swallowed hair, is usually associated with underlying psychiatric and emotional disturbances. In this report, we describe a young girl who had her symptom onset at the age of 3, but presented again after more than a decade with recurrent symptomatic large trichobezoars needing surgical removal both times. Her clinical course and presentation challenged contemporary understanding of TTM.
  - 2,687 39
Trichotillomania by proxy
Avinash De Sousa
January-March 2015, 7(1):24-25
DOI:10.4103/0974-7753.153452  PMID:25878445
Trichotillomania is a disorder of an impulsive hair pulling that occurs in both adults and children alike. Trichotillomania is seen in children and often has other psychiatric comorbidity. Here, we present an interesting case of a mother who had trichotillomania and recovered with treatment following which she resorted to pulling hair of her child and brought her child for treatment saying that the child too had trichotillomania and that we should help the child recover like her. After interviewing the child, it was revealed that it was, in fact, the mother who used to pull the child's hair as a release for her hair-pulling urges.
  - 3,085 43
Vitiliginous alopecia masquerading as frontal fibrosing alopecia
Ramon Pigem, Salvador Villablanca, Sebastian Podlipnik, Llúcia AlÓs, Susana Puig
January-March 2015, 7(1):41-42
DOI:10.4103/0974-7753.153462  PMID:25878451
  - 2,299 37
Lithium in trichology: A double edged weapon
Patrick Yesudian
January-March 2015, 7(1):1-1
DOI:10.4103/0974-7753.153449  PMID:25878442
  - 3,192 61
A ballad for the bald!
B Srinivas
January-March 2015, 7(1):45-45
DOI:10.4103/0974-7753.153466  PMID:25878453
  - 1,881 43