PMC10162734_01
(a and b) Dry lustreless short sparse hairs on scalp. (c) Absent of eye lashes and sparse eyebrow hairs
IJD-68-124a-g001.jpg
PMC10162734_01_IJD-68-124a-g001.jpg
F1
A 25-year-old lady attended to our OPD with dry lustreless short sparse hairs on scalp [Figure 1a and 1b]. On examination, she had short thin sparse hairs over scalp, no body hair or eye lashes, but had sparse eyebrow hairs [Figure 1c].
(a) Short white and black crumbled and coiled hairs, normal eccrine openings, blotchy hyperpigmentation on dermoscopy. (b and c) Hair strand showed flattening with 180 degree twisting under light microscope
IJD-68-124a-g002.jpg
PMC10162734_01_IJD-68-124a-g002.jpg
F2
Dermoscopy on her scalp showed thin short white and black crumbled and coiled hairs on a background of normal eccrine openings and blotchy hyperpigmentation [Figure 2a]. Each individual hair strand showed flattening with 180 degree twisting under light microscope [Figure 2b and 2c].
Biopsy of scalp:unremarkable epidermis, subepithelial sebaceous glands and occasional hair follicle with distorted anatomy without inflammation [scanner view]
IJD-68-124a-g003.jpg
PMC10162734_01_IJD-68-124a-g003.jpg
F3
Scalp biopsy was done and showed unremarkable epidermis with subepithelial sebaceous glands and occasional hair follicle with distorted anatomy without inflammation [Figure 3].
Daughter with shedded normal hair from frontal area replaced with short sparse thin hair
IJD-68-124a-g004.jpg
PMC10162734_01_IJD-68-124a-g004.jpg
F4
She had one 1-year-old female child whose normal hair from frontal area was shedding off and had short sparse thin hair over the area [Figure 4].