International Journal of Trichology International Journal of Trichology
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Year : 2013  |  Volume : 5  |  Issue : 2  |  Page : 101  

Mudichood: Well-known but rare entity

Department of Dermatology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India

Date of Web Publication12-Dec-2013

Correspondence Address:
Gaurang Gupta
Department of Dermatology, OPD No. 10, SDM Medical College, Sattur, Dharwad - 580 009, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-7753.122974

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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

How to cite this URL:
Gupta G, Reshme P, Raju K, Rai V. Mudichood: Well-known but rare entity. Int J Trichol [serial online] 2013 [cited 2023 Mar 29];5:101. Available from: https://www.ijtrichology.com/text.asp?2013/5/2/101/122974


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.
Figure 1: Mudichood on the right side of upper back

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Figure 2: Maculo-papular and lichenoid eruption with excoriation

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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 Top

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.  Back to cited text no. 1
2.Sugathan P, Martin AM. Mudi-chood: On the forearm. Indian J Dermatol 2011;56:228-9.  Back to cited text no. 2
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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.  Back to cited text no. 3
4.Pillai KG, Paily PP, Naik PV. Mudichood in a male: Case report. Indian J Dermatol Venereol Leprol 1981;47:50-2.  Back to cited text no. 4


  [Figure 1], [Figure 2]


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