Trichostasis spinulosa

Trichostasis spinulosa
Trichostasis spinulosa
Specialty	Dermatology

Trichostasis spinulosa is a common but rarely diagnosed disorder of the hair follicles^[1] that clinically gives the impression of blackheads, but the follicles are filled with funnel-shaped, horny plugs that are bundles of vellus hairs.^[2]^: 768

Signs and symptoms

Trichostasis spinulosa can appear in several ways, such as open comedones or elevated follicular spicules, or it can stay invisible. Lesions on the face, cheek, and nose are frequently found in the patients.^[3]

Causes

The exact etiology of trichostasis spinulosa is unknown. There have been suggestions for congenital variables such hair follicle dysplasia as well as extrinsic elements like dust, oils, UV light, heat, and allergens. According to one theory, hyperkeratosis in the follicular infundibulum causes hair shaft entrapment, which prevents regular hair shedding.^[4]

Diagnosis

Standard skin surface biopsy (SSSB) is a noninvasive method used for diagnosis.^[1]

Favre-Racouchot syndrome, eruptive vellus hair cysts, keratosis pilaris, and comedogenic acne are among the conditions that might be identified as differential diagnoses for facial trichostasis spinulosa.^[4]

Treatment

Various therapeutic techniques, such as hydroactive adhesive tapes, local keratolytics, oral and local retinoids, have been tested with varying degrees of success.^[5] Capryloyl salicylic acid peelings performed repeatedly have produced positive results.^[6]

References

^ ^a ^b Gündüz, Özge; Aytekin, Asli (1 January 2012). "Trichostasis Spinulosa Confirmed by Standard Skin Surface Biopsy". International Journal of Trichology. 4 (4): 273–4. doi:10.4103/0974-7753.111201. PMC 3681110. PMID 23766613.
^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
^ Harford, Robert R.; Cobb, Mark W.; Miller, Matthew L. (1996). "Trichostasis Spinulosa: A Clinical Simulant of Acne Open Comedones". Pediatric Dermatology. 13 (6). Wiley: 490–492. doi:10.1111/j.1525-1470.1996.tb00731.x. ISSN 0736-8046.
^ ^a ^b Kundu, Tamalika; Kundu, Arunava; Gon, Sonia (2016). "Trichostasis spinulosa: An unusual diagnosis presenting as a double lower eyelid". International Journal of Trichology. 8 (1). Medknow: 21. doi:10.4103/0974-7753.179396. ISSN 0974-7753. PMC 4830167.
^ Gutte, RameshwarM (2012). "Itchy Black Hair Bristles on Back". International Journal of Trichology. 4 (4). Medknow: 285. doi:10.4103/0974-7753.111210. ISSN 0974-7753. PMC 3681115.
^ Naveen, KikkeriNarayanasetty; Shetty, SurajR (2014). "Trichostasis spinulosa: An overlooked entity". Indian Dermatology Online Journal. 5 (6). Medknow: 132. doi:10.4103/2229-5178.146195. ISSN 2229-5178. PMC 4290179.