International Journal of Trichology International Journal of Trichology
 Print this page Email this page Small font sizeDefault font sizeIncrease font size
  Home | About IJT | Editorial board | Search | Ahead of print | Current Issue | Archives | Instructions | Online submission | Subscribe | Advertise | Contact us | Login   
Year : 2010  |  Volume : 2  |  Issue : 2  |  Page : 110-112

Plica neuropathica (Plica polonica) following Azathioprine-induced pancytopenia

P. D. Hinduja Hospital, Mahim, Mumbai, India

Correspondence Address:
Rajiv Joshi
14, Jay Mahal, A Road, Churchgate, Mumbai-400 020
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-7753.77523

Rights and Permissions

A 54-yr-old woman, on azathioprine for interstitial lung disease, developed pancytopenia and presented with sudden onset of extensive hair loss from the scalp followed overnight by appearance of elongated broad mass of uncombable matted hair which had the typical appearance of Plica neuropathica. Microscopic examination of hair clipped from the matted mass revealed irregular, nodal, superficial fractures of the hair shaft resembling Trichorrhexis nodosa and irregular ruffling of the cuticles. The areas of cuticular damage appeared dark under polarized light. Plica neuropathica following pancytopenia is unusual and the findings of hair shaft cuticular damage suggests that changes in surface characteristics of hair shafts may have led to the irreversible matting leading to development of plica along with extensive hair loss due to anagen effluvium.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded77    
    Comments [Add]    
    Cited by others 4    

Recommend this journal