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  Indian J Med Microbiol
 

Figure 1: (a) Clinical image: Tons of dandruff-like hair casts over the head (red arrows). (b) Trichoscopy: Perifollicular erythema, fibrotic white dots, and silver-white peripilar keratin casts around the emerging hair shafts. (c) Trichoscopy: A firm, silver-white, 6-mm long hair cast along the scalp hair. (d) Dermoscopy: Perifollicular diffuse blue-gray peppering pattern and disappearance of follicular ostia in the abdomen. (e) Histopathologic examination: Perifollicular mucinous fibrosis with lymphocytic infiltration of the upper portions of the hair follicles (H and E, ×40)

Figure 1: (a) Clinical image: Tons of dandruff-like hair casts over the head (red arrows). (b) Trichoscopy: Perifollicular erythema, fibrotic white dots, and silver-white peripilar keratin casts around the emerging hair shafts. (c) Trichoscopy: A firm, silver-white, 6-mm long hair cast along the scalp hair. (d) Dermoscopy: Perifollicular diffuse blue-gray peppering pattern and disappearance of follicular ostia in the abdomen. (e) Histopathologic examination: Perifollicular mucinous fibrosis with lymphocytic infiltration of the upper portions of the hair follicles (H and E, ×40)