Clinical Dermatology Research JournalISSN: 2576-1439

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Clinical Image, Clin Dermatol Res J Vol: 4 Issue: 1

“Nail-Like Appearance”: Characteristic Feature of Hair Fracture Caused by Hair Dye under Dermoscopy

Mengsha MA1,2, Wenju Wang1 and Yonghong LU1*

1Department of Dermatovenereology Chengdu Second People’s Hospital, Chengdu, 610017, China

2Zunyi Medical College, Zunyi 563003, China

*Corresponding Author : Yonghong LU
Department of Dermatovenereology Chengdu Second People’s Hospital, Chengdu, 610017, China
E-mail: 1255395583@qq.com

Received: December 03, 2018 Accepted: December 11, 2019 Published: January 28, 2019

Citation: Mengsha MA, Wenju Wang, Yonghong LU (2019) “Nail-Like Appearance”: Characteristic Feature of Hair Fracture Caused by Hair Dye under Dermoscopy. Clin Dermatol Res J 4:1. DOI: 10.4172/2576-1439.1000126

Abstract

A 39-year-old-woman consulted for neatly-broken hair after reddening her hair on forehead margin of the scalp with a 1-day history (Figure 1). (a) The broken ends curled slightly downward under polarized light (b) Analogous to nails used in construction (c) Which has not been observed in previous trichoscopy. The reddish-brown amorphous plaque that resemble excoriated lesions on the scalp and the similar color of surrounding dyed hairs (d) Highly indicated the diagnosis of hair fracture caused by hair dye [1]. This was confirmed considering the absence of high-temperature perm history and should be in differential diagnosis from tinea capitis and trichotillomania.

Keywords: Nail, Hair Fracture, Hair Dye, Dermoscopy

A 39-year-old-woman consulted for neatly-broken hair after reddening her hair on forehead margin of the scalp with a 1-day history (Figure 1). (a) The broken ends curled slightly downward under polarized light (b) Analogous to nails used in construction (c) Which has not been observed in previous trichoscopy. The reddish-brown amorphous plaque that resemble excoriated lesions on the scalp and the similar color of surrounding dyed hairs (d) Highly indicated the diagnosis of hair fracture caused by hair dye [1]. This was confirmed considering the absence of high-temperature perm history and should be in differential diagnosis from tinea capitis and trichotillomania.

Figure 1: A: The hair shaft were neatly-broken; B: Dermoscopy of the broken ends of the patch reveals neatly-broken hair stem and the broken ends curled slightly downward, demonstrating a nail-like appearance (65 × magnification);C: The closeup photo of nails; D: The reddish-brown amorphous plaque and pigmentation mimicking honeycomb-like structure on the scalp was visible (35 × magnification).

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