In 2019, Mathur and colleagues got down to higher perceive among the causes of tubular hair casts. The authors famous a wide range of totally different patterns of tubular casts in inflammatory hair issues – and 90% have been proximal casts identical to proven within the photograph above. In whole, tubular casts have been famous in 50 % of pemphigus vulgaris, 30 % of frontal fibrosing alopecia, 26 % of discoid lupus, 25 % of lichen planopilaris, 20 % of pemphigus folliaceus and 17% of tinea capitis. (on this examine frequent issues with tubular casts have been excluded reminiscent of seborrheic dermatitis, psoriasis, traction and trichotillomania).
See Prior Article: Tubular Hair Casts: A Nearer Look
Scaling in Lichen planopilaris
There have been 16 sufferers with LPP within the creator’s examine. Tubular hair casts have been present in 4 sufferers or 25%. Scaling was proximal in 75 % of these sufferers famous to have casts and each proximal and distal in 1 affected person. In all 4 sufferers, there was only one forged famous on a hair and just one hair was ever enveloped by a forged. The encompassing scaling of the scalp pores and skin was minimal to absent in all 4.
REFERENCE
Mathur M et al. Tubular Hair Casts in Trichoscopy of Hair and Scalp Problems. Int J Trichology 2019 Jan-Feb;11(1):14-19.
https://donovanmedical.com/hair-blog/tubular-hair-casts
