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.

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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