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| LETTER TO EDITOR |
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| Year : 2013 | Volume
: 5
| Issue : 2 | Page : 101 |
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Mudichood: Well-known but rare entity
Gaurang Gupta, Priyanka Reshme, Kartik Raju, Vijetha Rai
Department of Dermatology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
| Date of Web Publication | 12-Dec-2013 |
Correspondence Address:
Gaurang Gupta
Department of Dermatology, OPD No. 10, SDM Medical College, Sattur, Dharwad - 580 009, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-7753.122974
How to cite this article:
Gupta G, Reshme P, Raju K, Rai V. Mudichood: Well-known but rare entity. Int J Trichol 2013;5:101 |
Sir,
Skin is an important organ of esthetic purpose, but at the same time skin can be affected by unique social life-styles. Various cultural practices have their influence on the skin causing some of the unique diseases. Mudichood is one of them. It is typically present in the southern part of India where females have long hairs and use hair oil. It was first described by Sugathan and Nair. [1]
A 45-year-old married female patient who presented with lesions over upper back since 2 years [Figure 1]. She had intense itching, which used to increase after bath and after using the hair oil. She had a habit of keeping her hair open over the right shoulder while working. On examination, maculo-papular to lichenoid type of lesions with hyperpigmentation and excoriation were present on the right side of upper back [Figure 2]. Diagnosis of Mudichood was made on the basis of history and clinical findings. Patient was treated with Clobetasol topical application and was asked to avoid hair oil. Significant improvement was seen within few days.
Mudichood is a peculiar dermatosis affecting the nape of the neck and upper back. [1] It is presumed to be due to a non-specific follicular reaction to the wet and oily hair in a hot and humid environment and due to the friction between the hair and skin. [2] It is characterized by itchy, pigmented, follicular, flat topped papules 2-4 mm in diameter. [3] It is typically seen in females, but one case is reported in male. The coarse hair, posture in which the patient sleep, bathing habit, excessive sweating and hair oil are contributing factors. [4] Mudichood is mainly encountered in Kerala state. We are reporting this case from Karnataka, which is an unlikely geographical location for this condition.
 References | |  |
| 1. | Sugathan P, Nair MB. Mudichood: A new dermatological entity. In: Marshall J, editor. Essays on Tropical Dermatology. Vol. 2. Amsterdam: Excerpta Medica; 1972. p. 183-8. 
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| 2. | Sugathan P, Martin AM. Mudi-chood: On the forearm. Indian J Dermatol 2011;56:228-9.
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| 3. | Kandhari S. Ecology of skin diseases in India. In: Valia RG, Valia AR, editors. IADVL Textbook of Dermatology. 3 rd ed. Bhalani Publication House; 2008. p. 2.
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| 4. | Pillai KG, Paily PP, Naik PV. Mudichood in a male: Case report. Indian J Dermatol Venereol Leprol 1981;47:50-2.
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[Figure 1], [Figure 2]
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