Plica Neuropathica: Bird's Nest Under Dermatoscope

    Dhruv Patel, Jinal Jainendrabhai Tandel, Pragya A Nair
    Studysummary This article reviews the condition plica neuropathica, including its manifestations, potential causes, and treatment, but it does not provide new clinical findings. Our plain-language summary of this paper — not a Tressless recommendation.
    Plica neuropathica, also known as plica polonica, is a rare condition characterized by a mass of scalp hair with irregular twists and irreversibly entangled plaits, forming a firm, impenetrable mass of keratin mixed with dirt and exudates. The exact cause is unclear but may involve mechanical factors like friction, harsh shampoos, and poor hair care. A case of a 42-year-old woman with this condition showed hair matting with honey-colored concretions under dermatoscopy. Treatment involves cutting the matted hair and addressing any underlying psychiatric issues to prevent recurrence. Regular hair care and early psychiatric evaluation are recommended to avoid this condition.
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