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Accessory Structures of the Skin: Hair Growth and Types01:20

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Hair growth begins with the production of keratinocytes by the basal cells of the hair bulb. As new cells are deposited at the hair bulb, the hair shaft is pushed through the follicle toward the surface. Keratinization is completed as the cells are pushed to the skin surface to form the shaft of hair that is externally visible. The external hair is completely dead and composed entirely of keratin. Hair can be cut or shaven without damaging the hair structure because the cut is superficial. Most...
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Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
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Hair and hair follicles are integral components of the integumentary system. Hair is a filamentous structure composed mainly of a protein called keratin. It is found on the surface of the skin throughout the body, except for areas such as the palms of the hands and soles of the feet.
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Ingrowing Hair: A Case Report.

Di-Qing Luo1, Yu-Hua Liang, Xi-Qing Li

  • 1From the Department of Dermatology (D-QL, Y-KZ, FW), The Eastern Hospital of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou; Department of Dermatology (Y-HL), The Fifth People's Hospital of Foshan, Foshan; Department of Dermatology (X-QL), Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China; and Department of Dermatology (RS), Maulana Azad Medical College and LNJP Hospital, New Delhi, India.

Medicine
|May 14, 2016
PubMed
Summary
This summary is machine-generated.

Ingrowing hair, a rare skin condition, presents as a linear lesion caused by embedded beard hairs. Removing the hair and stopping the habit are effective treatments for this recurrent condition.

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Area of Science:

  • Dermatology
  • Parasitology

Background:

  • Cutaneous diseases like pili migrans and creeping eruption can manifest as moving linear skin lesions.
  • These conditions are often caused by parasitic infections.
  • A rare variant involves a hair shaft embedded in the skin, termed 'ingrown hair'.

Observation:

  • A 30-year-old man presented with a year-long, slowly extending black linear eruption on his chin.
  • Examination revealed a 4-cm sub-dermal black line with surrounding erythema and folliculitis.
  • The patient had a habit of pulling or extruding beard hairs.

Findings:

  • Treatment with topical mupirocin improved inflammation, and two beard hairs with follicles were extracted.
  • A similar lesion recurred and was removed, identified as a beard hair with a follicle.
  • The patient was diagnosed with recurrent 'ingrowing hair'.

Implications:

  • The condition, 'ingrowing hair,' is distinct from 'ingrown hair' and characterized by embedded hairs.
  • Optimal management involves manual extraction of the involved hair and behavioral modification.
  • This case highlights a rare dermatological presentation and its successful treatment strategy.