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Flame Hair.
- Source :
-
Skin appendage disorders [Skin Appendage Disord] 2015 Sep; Vol. 1 (2), pp. 105-9. Date of Electronic Publication: 2015 Sep 02. - Publication Year :
- 2015
-
Abstract
- Background: 'Flame hairs' is a trichoscopic feature described as hair residue from pulling anagen hairs in trichotillomania.<br />Objective: To detect whether flame hairs are present in other hair loss disorders.<br />Methods: We retrospectively, independently and blindly reviewed the trichoscopic images of 454 consecutive patients with alopecia areata (99 cases), trichotillomania (n = 20), acute chemotherapy-induced alopecia (n = 6), acute radiotherapy-induced alopecia (n = 2), tinea capitis (n = 13), lichen planopilaris (n = 33), frontal fibrosing alopecia (n = 60), discoid lupus erythematosus (n = 30), dissecting cellulitis (n = 11), central centrifugal cicatricial alopecia (n = 94) and traction alopecia (n = 86) for the presence of flame hairs. We prospectively obtained trichoscopy-guided scalp biopsies from flame hairs in trichotillomania, alopecia areata, traction alopecia and central centrifugal cicatricial alopecia (1 case each).<br />Results: Flame hairs were detected in 100% of the acute chemotherapy- and radiotherapy-induced alopecias, where they were the predominant hair abnormality. They were also found in trichotillomania (55%), alopecia areata (21%), traction alopecia (4%) and central centrifugal cicatricial alopecia (3%). On pathology, they corresponded to distorted hair shafts.<br />Conclusion: The flame hair is a type of broken hair which can be seen in various hair loss disorders. It results from traumatic pulling of anagen hairs or from anagen arrest due to inflammation or drugs. © 2015 S. Karger AG, Basel.
Details
- Language :
- English
- ISSN :
- 2296-9195
- Volume :
- 1
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Skin appendage disorders
- Publication Type :
- Academic Journal
- Accession number :
- 27171360
- Full Text :
- https://doi.org/10.1159/000438995