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Hair CastsParakeratotic Comedones of the Scalp
ALBERT M. KLIGMAN, M.D.
AMA Arch Derm. 1957;75(4):509-511.
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Recently two young Negro female children, ages 2 and 4 years, were referred to the dermatology clinic of the University Hospital with the mistaken diagnoses respectively of tinea capitis and pediculosis. The source of the error was the presence of peculiar fluorescent accretions on the hair shafts about which I have found no previous reference.* The abnormality was inconsequential and probably would have not come to light at all save for having been detected during a routine tinea capitis survey.
Along many of the shafts of the scalp hairs at different intervals were one to three yellowish-white, firm but not hard, accretions, 3 to 7 mm. in length (Fig. 1). These formations ensheathed the hair and could readily be slid up and down the shaft. Their fluorescence under the Wood's light was of a bluish-yellow hue, far less intense than that of fungus-infected hairs. Furthermore,
. . . [Full Text PDF of this Article]
Author Affiliations
Philadelphia
From the Department of Dermatology (Donald M. Pillsbury, Director), University of Pennsylvania School of Medicine.
Footnotes
Submitted for publication June 19, 1956.
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