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    Glossary Peripilar Casts

    small, white sheaths encircling hair shafts near the scalp

    Peripilar casts are small, white, cylindrical sheaths that encircle the hair shaft near the scalp. They are often seen in conditions like alopecia areata or telogen effluvium and can be indicative of inflammation or other underlying scalp disorders. These casts can be mistaken for dandruff but are firmly attached to the hair and do not easily flake off.

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      research Hair casts: Classification, staining characteristics, and differential diagnosis

      27 citations , January 1983 in “Journal of the American Academy of Dermatology”
      This article proposes a classification system for hair casts to resolve confusion in existing literature and describes a staining technique to distinguish peripilar keratin casts from other hair disorders, without providing new clinical results.

      research Generalized Hair Casts Due to Traction

      4 citations , August 2013 in “Pediatric dermatology”
      This report describes an 11-year-old girl with peripilar keratin casts, a condition often underdiagnosed and mistaken for nits, highlighting the usefulness of keratolytic treatments in management.

      research Vainas peripilares

      2 citations , June 2010 in “Medicina de Familia SEMERGEN”
      The girl's "dandruff" was actually harmless hair casts, not a hygiene issue.
      Adult Onset Hair Casts: Nits Which Do Not Itch

      research Adult Onset Hair Casts: Nits Which Do Not Itch!

      2 citations , January 2017 in “PubMed”
      This case report describes a 22-year-old male with hair casts on scalp and body hair, associated with androgenetic alopecia, also affecting his sister as pseudonits.