TLDR A boy with monilethrix has brittle hair that breaks easily due to a genetic condition, which might improve by puberty.
A 4-year-old boy with a 3-year history of hair loss was diagnosed with monilethrix, a rare hereditary condition caused by mutations in hair keratin genes. Examination revealed short, sparse, and brittle hair with hyperkeratotic papules on the occipital scalp. Dermoscopic and microscopic analyses showed characteristic beaded hair shafts prone to breakage. Monilethrix often appears in early childhood and may resolve during puberty. The most effective treatment involves avoiding mechanical damage to the hair. The boy's nails and teeth were normal, and no other associated abnormalities were noted.
20 citations
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February 2015 in “Anais brasileiros de dermatologia/Anais Brasileiros de Dermatologia” A 6-year-old girl was diagnosed with a rare hair disorder and started treatment with topical minoxidil.
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September 2021 in “Skin Appendage Disorders” Hair count values should be standardized for each scalp region to evaluate hair disorders in Asians.
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January 2017 in “Indian Dermatology Online Journal” Body hair transplants can treat baldness but differ from scalp hair and need more research on long-term results and side effects.
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24 citations
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