PMC3746233_01
Predominant hair loss over occipital region
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F1
Examination showed diffuse hair loss with short and brittle hairs over scalp, predominantly over the occipital region [Figure 1].
Absence of beard and axillary hair
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F2
Beard, axillary and body hairs were absent [Figure 2].
Multiple follicular keratotic papules over the nape of neck
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F3
Follicular keratotic papules were seen over the occiput, nape of neck and extensor arms [Figure 3].
Beaded appearance of hair under light microscopy
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F4
Light microscopy of hair showed beaded appearance with elliptical nodes separated by narrower internodes thus establishing the diagnosis of monilethrix [Figure 4].