TLDR Hair casts can be treated with physical removal and special shampoos.
Peripilar keratin casts, also known as pseudonits or hair casts, are thin, elongated, greyish-white, cylindrical structures that encircle the hair shaft and can be easily slid along it. These casts can be clinically misdiagnosed as nits. Treatment includes physical removal and the use of keratolytic lotions or shampoos. The document reported a case of an 11-year-old girl with pseudonits, highlighting that while the condition is not rare, it is often underdiagnosed.
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October 2012 in “CMAJ. Canadian Medical Association journal” The girl had harmless hair casts, not lice.
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January 2012 in “International Journal of Trichology” Propionibacterium acnes might be linked to hair casts and possibly alopecia.
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January 2011 in “International journal of trichology” Hair casts, also called pseudonits, are often mistaken for other conditions.
24 citations
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December 1990 in “Pediatric Dermatology” Tight hairstyles like ponytails may cause hair casts by affecting scalp circulation and causing inflammation.
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January 1983 in “Journal of the American Academy of Dermatology” A new method helps identify and classify different types of hair casts.
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September 2021 in “PubMed” Hair removal methods vary in effectiveness and side effects, with electrolysis being the only permanent solution.
4 citations
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August 2013 in “Pediatric dermatology” Hair casts can be treated with physical removal and special shampoos.
1 citations
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January 2009 in “Elsevier eBooks” The chapter explains why and how women remove unwanted hair, comparing methods like shaving and waxing.