Related Experiment Video
Updated: Jul 27, 2025

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
Uncommon Foot Pain: A Rare Case of Sequential Migration of Cutaneous Pili Migrans
Kelsen Dos Santos Sales1, Anacélia Gomes de Matos Mota2, Camilla Teixeira Pinheiro Gusmão2
1Walter Cantídio University Hospital, Fortaleza, CE, Brazil.
Abstract:
Cutaneous pili migrans (CPM) is an uncommon condition in which a hair fragment penetrates the skin and produces a creeping lesion similarly of cutaneous larva migrans associated with local pain. There are few reports of CPM in the literature, and none visually describes the migration of the hair shaft in the epidermis associated with pain. Herein, we showed the first report describing a case of an in situ sequential migration of CPM in an adult patient.
Insights
Cutaneous pili migrans (CPM) is a rare condition where a hair fragment causes a painful, creeping skin lesion. This report visually documents the first observed case of sequential hair migration in the epidermis.
Area of Science:
- Dermatology
- Pathology
Background:
- Cutaneous pili migrans (CPM) is an uncommon condition characterized by hair fragments penetrating the skin.
- It presents as a creeping lesion, often accompanied by local pain, mimicking cutaneous larva migrans.
- Existing literature lacks detailed visual descriptions of CPM's epidermal migration process.
Observation:
- This report presents the first case detailing the sequential, in situ migration of a hair shaft within the epidermis.
- The observation was made in an adult patient experiencing symptoms consistent with CPM.
- Visual documentation of the hair shaft's movement and associated pain was achieved.
Findings:
- The study visually confirms the mechanism of cutaneous pili migrans.
- It provides a sequential, in situ description of hair shaft migration within the epidermis.
- The findings correlate the physical migration with reported patient pain.
Implications:
- This visual evidence enhances understanding of CPM pathogenesis.
- It may aid in differentiating CPM from other creeping skin eruptions.
- Improved diagnostic clarity for clinicians managing this rare condition is anticipated.
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