A Histochemical Test for Citrulline: Adaptation of the Carbamido Diacetyl Reaction to Histologic Sections with Positive Results in Pilomatrixomas (Calcifying Epitheliomas)

    Elizabeth J. Holmes
    Studysummary This study reports that citrulline, uniquely found in the inner root sheath of hair follicles, can be specifically detected with the carbamido diacetyl reaction, resulting in a bright orange color. Our plain-language summary of this paper — not a Tressless recommendation.
    The study investigated a histochemical test for detecting citrulline in hair follicle components, specifically the inner root sheath, which contained 6.1% citrulline by dry weight. Traditional methods using Ehrlich's reagent were less specific due to interference from tryptophan. The researchers adapted Fearon's diacetyl monoxime reagent for a more specific test, which involved a reaction in hot acid solution and used a silicone rubber adhesive to withstand boiling hydrochloric acid. This method successfully colored the inner root sheath bright orange and showed positive results in some keratinous areas of pilomatrixomas.
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