TLDR A rare hair follicle disorder can cause itchy, bluish-black bumps on the body.
This case report describes a 53-year-old obese female with pruritic trichostasis spinulosa (TS) presenting with itchy lesions on her breasts and lower abdomen, an unusual site for TS. Diagnosis was confirmed through dermoscopy and histopathology. Treatment with topical tretinoin, oral antihistamines, and antibiotics led to significant improvement in 6 weeks. The report highlights the need to consider TS in atypical locations and the effectiveness of noninvasive diagnostic tools, while also noting the challenges in diagnosing and treating the pruritic variant of TS.
3 citations,
November 2015 in “International Journal of Dermatology” Trichostasis spinulosa is common but often underdiagnosed, mainly affecting women's faces.
January 2017 in “Springer eBooks” The document explains various skin conditions and their treatments.
9 citations,
January 2012 in “International journal of trichology” Trichostasis spinulosa can be diagnosed with a simple skin biopsy and treated with specific gels, but lesions may return after stopping treatment.
5 citations,
February 2016 in “Sultan Qaboos University medical journal” The patient had a severe itchy rash and hair loss in the armpits.
8 citations,
January 2017 in “Indian dermatology online journal” Traumatic anserine folliculosis is a skin condition caused by friction, treatable with topical cream and avoiding trauma.
4 citations,
July 2014 in “International Journal of Dermatology” Twins had rare skin cysts likely due to genetics.