Pili bifurcati
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Pili bifurcati is characterized by bifurcation found in short segments along the shafts of several hairs, with each branch of the bifurcation being covered with its own cuticle.James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. {{ISBN|0-7216-2921-0}}.{{rp|768}}{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L. |author3=Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |isbn=978-1-4160-2999-1 }}
Signs and symptoms
Pili bifurcati is defined by uneven bifurcation of the hair shaft.{{cite journal | last1=Echeverría | first1=Ximena P. | last2=Romero | first2=William A. | last3=Carreño | first3=Néstor R. | last4=Zegpi | first4=María S. | last5=González | first5=Sergio J. | title=Hair Shaft Abnormalities. Pili Bifurcati: A Scanning Electron Microscopy Analysis | journal=Pediatric Dermatology | volume=26 | issue=2 | date=2009 | issn=0736-8046 | doi=10.1111/j.1525-1470.2009.00877.x | pages=169–170| pmid=19419464 }} Every bifurcation forms two distinct parallel branches that eventually unite to form a single shaft. Each branch of the subsequent bifurcations is entirely encased in its own cuticle.{{cite journal |last1=Camacho |first1=F M |last2=Happle |first2=R |last3=Tosti |first3=A |last4=Whiting |first4=D |title=The different faces of pili bifurcati. A review |journal=European Journal of Dermatology |date=2000 |volume=10 |issue=5 |pages=337–340 |pmid=10882940}}
Causes
The etiology of pili bifurcati is a temporary duplication of the papilla tip that occurs during the anagen phase. This temporary production results in two full shafts that emerge from a single pilary canal within the same follicular matrix.{{cite web | title=Orphanet: Pili bifurcati | website=Orphanet | date=2024-02-29 |url=https://www.orpha.net/en/disease/detail/720 | access-date=2024-03-23}}
Diagnosis
Hair shaft analysis and trichogram are used to make the diagnosis. Reduced hair shaft caliber and a high percentage of dystrophic anagen hairs may be seen in the first. Patients with protein deficits can have hypopigmentation and telogen effluvium. Hair shafts studied under light microscopy reveals the distinctive bifurcations.
See also
- List of cutaneous conditions
- Pili multigemini – multiple hairs growing from the same source.
- Ringed hair
References
{{reflist}}
Further reading
- {{cite journal | last1=Ruiz-Villaverde | first1=R | last2=Villanova-Mateu | first2=A | last3=Ortega del Olmo | first3=R | last4=Sanchez-Cano | first4=D | title=Pseudomonilethrix type II and pili bifurcati | journal=Journal of the European Academy of Dermatology and Venereology | publisher=Wiley | volume=20 | issue=7 | date=2006-07-19 | issn=0926-9959 | doi=10.1111/j.1468-3083.2006.01564.x | pages=889–890 | ref=none}}
- {{cite journal | last=Weary | first=Peyton E. | title=Pili Bifurcati: A New Anomaly of Hair Growth | journal=Archives of Dermatology | volume=108 | issue=3 | date=1973-09-01 | issn=0003-987X | doi=10.1001/archderm.1973.01620240053016 | page=403 | ref=none}}
External links
- [https://dermnetnz.org/topics/defects-of-the-hair-shaft Defects of the hair shaft] - DermNet
{{Medical resources
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{{Disorders of skin appendages}}