Case for diagnosis. Single-digit clubbing

Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma.

Clinical and epidemiological characteristics and associated factors of hair graying: a population-based, cross-sectional study in Turkey

Abstract Background Hair graying is common in humans; but there is scarce data about its epidemiology. Objective This study aimed to evaluate the clinical and epidemiological characteristics and associated factors of hair graying. Methods A total of 1541 volunteers between 15 and 65 years old were included in this population-based, cross-sectional study. A questionnaire on characteristics and associated factors of hair graying was filled in by face-to-face interview method. Results One thousand sixty three participants (69.0%) had hair graying. The mean onset age of hair graying was 32.9 ± 9.8 years. It was 31.7 ± 9.5 years in females, whereas 33.7 ± 10.0 years in males (p = 0.001). The most common involved area of hair graying at the onset and at the time of the interview was temporal region. When it was evaluated by gender, it was temporal in males whereas parietal in females. Hair graying was more severe in males than in females and in late-onset hair graying than early-onset hair graying (respectively, p = 0.000, p < 0.001). The most common involved area at the onset and at the present was temporal in severe hair graying; whereas parietal in mild hair graying. In logistic regression analysis, age, educational status, presence of hair loss, skin type, family history of early-onset hair graying and anxiety were independently related to hair graying (p < 0.05). Study limitations The study was performed in only Turkish individuals. The recall biases were another limitations. Conclusion Male gender, late-onset and temporal-onset of hair graying may be considered to be poor prognostic factors for hair graying. There is need for further epidemiological studies in people with different ethnic origin to illuminate the clinical and epidemiological characteristics and associated factors of hair graying.

DNA Molecular Identification of Human Phenotypic Characteristics--New Progress Over the Past Five Years / 法医学杂志

Molecular identification of human externally visible characteristic （EVC）, which is also called forensic DNA phenotyping （FDP）, can serve as a "molecular witness" when the routine investigations can not determine the identity of a criminal and the DNA database find no match after comparison. FDP could assist in investigation of cases by inferring the externally visible phenotypic characteristics from DNA obtained from the biological materials left at crime scenes, or unknown corpses. In the last few years, studies on the selection of EVC related molecular markers have been reported frequently and some of the EVCs could already be inferred with a certain accuracy, such as hair color and iris color. Further fundamental research on molecular genetics of human external phenotypic characteristics, as well as the continuous innovation on molecular biological technology would promote the rapid development of DNA molecular identification of human phenotypic characteristics.

Closure of a full-thickness scalp burn that occurred during hair coloring using a simple skin-stretching method: A case report and review of the literature

Full-thickness scalp burns secondary to hair coloring are rare; however, such defects can be large and complex reconstruction of hair-bearing tissue may be necessary. Many skin-stretching devices that use gradual traction have been applied to take advantage of the viscoelastic properties of the skin. A 21-year-old female patient was seen with a burn defect on her occipital scalp leading to exposed subcutaneous tissue after chemical application of hair coloring in a salon. The dimensions of the wound were 10 cm×5 cm, and a skin graft or flap would have been necessary to close the defect. Two long transfixing K-wires (1.4 mm) and paired 3-wire threads (23 gauge), which are readily available in most hospitals, were applied over a period of 12 days for trichophytic closure of the defect. The remaining scalp scars after primary trichophytic closure with this skin-stretching method were refined with hair follicle transplantation. This skin-stretching method is simple to apply and valuable for helping to close problematic areas of skin shortage that would otherwise require more complicated procedures. This case shows a relatively unknown complication of hair coloring and its treatment.

Influence of different cosmetic vehicles in mechanical and physical properties of hair treated with oxidative hair dyes

ABSTRACT Hair care products play a significant role in the cosmetic market and aim at improving hair brightness, breakage resistance, and color change. In this study, we analyzed the possibility of the formulation of oxidative dyes in different vehicles impacting the hair's both mechanical and physical properties. Light brown and light blond dyes were prepared using eight different vehicles. Among these, four vehicles were emulsifying agents and four gelling agents. Each formulation was applied to two types of virgin Caucasian hair (light blond and dark brown). Physical, chemical, and organoleptic properties of each formulation were assessed, as well as changes in hair parameters after oxidative dyeing, such as staining intensity, brightness, and breaking strength. The parameters of color and brightness differed in some formulations, but the hair type also responded differently. Brightness parameter was increased in dark brown hair colored with both dyes, whereas light blond hair showed the opposite result. Regarding the breaking strength, there were no significant differences between the two kinds of tresses. Cosmetic formulations should adjust the consumer desired effects (e.g. color change) in order to present minimal drawbacks (e.g. decrease of hair brightness and strength). Thus, the study of different vehicles is important when establishing the best oxidative dye formulation.

Intra-specific pelage color variation in a South American small rodent species / Variação intraespecífica da cor da pelagem de uma espécie de pequeno roedor sul-americano

Abstract Intra-specific color variation is often underestimated by researchers, and among mammals, intra-specific differences in coloration are poorly documented for most species. The main goal of this study was to apply an objective color measurement methodology to the study of a specific problem: the detection, if any, of patterns of changes in the fur color of specimens of Akodon budini in relation to biological (i.e., sex) and environmental (i.e., season) variables. We hypothesize that coat color will be more homogeneous in males than in females and that coat color will be darker in winter than in summer, the latter being orange. We measured the pelage color on five points over the dorsal surface of 26 A. budini museum specimens using a spectroradiometer and a diffuse illumination cabin. We used Principal Component Analysis to describe the association between the color variables, sex and season, and each of the observations. We then used general linear models of Analysis of Variance to examine relationships between color data, season, and sex. The results clearly confirm the hypothesis related to seasonal coat color change but do not directly confirm the hypothesis related to changes in coat color in relation to sex, and we show the complexity of the studied pattern. In conclusion, undoubtedly, the studied variables should accordingly be considered when studying the coloration of specimens for characterization, identification and discrimination of different taxonomic units based on color.

Resumo Variação de cor intra-específica é muitas vezes subestimada pelos pesquisadores, e entre espécies de mamíferos, as diferenças intra-específicas na coloração são pouco conhecidas para a maioria das espécies. O principal objetivo deste estudo foi aplicar uma metodologia objetiva de medição de cor para o estudo de um problema específico: a detecção de padrões de mudanças na cor da pele de espécimes de Akodon budini em relação a variáveis biológicas (i.e., sexo) e ambientais (i.e., temporada), se houver. Nossa hipótese é que a cor da pelagem do sexo masculino será mais homogênea do que a de fêmeas e que a cor da pelagem do inverno vai ser mais escura do que a de verão, sendo esta última mais laranja. Medimos a cor da pelagem em cinco pontos sobre a superfície dorsal de 26 espécimes de museu de A. budini usando um espectroradiômetro e uma cabine de iluminação difusa. Usamos Análise de Componentes Principais para descrever a associação entre as variáveis de cor, sexo e temporada, e cada uma das observações. Em seguida, usamos modelos lineares gerais da Análise de Variância para verificar as relações entre os dados de cor, temporada, e sexo. Os resultados confirmam claramente a hipótese relacionada à mudança sazonal de cor da pelagem, mas não confirmam diretamente a hipótese relacionada com alterações na cor da pelagem em relação ao sexo, e vamos mostrar a complexidade do modelo estudado. Em conclusão, sem dúvida, as variáveis estudadas devem consequentemente ser tidas em conta quando se estuda a coloração de amostras para caracterização, identificação e discriminação de diferentes unidades taxonômicas com base na cor.

Desenvolvimento e avaliação de eficácia de nanoemulsão catiônica bioativa na proteção capilar aos danos foto-oxidativos / Development and evaluation of the effectiveness of bioactive cationic nanoemulsion in protecting hair photo-oxidative damage

A radiação solar, composta por radiação ultravioleta (UV), visível (Vis) e infravermelho, é responsável por acelerar os processos de alteração de cor e do conteúdo proteico da fibra capilar. Visando contornar este problema, este trabalho propõe a incorporação do flavonoide quercetina, de reconhecida atividade antioxidante, em uma nanoemulsão catiônica de aplicação capilar. Para tanto, foram desenvolvidas formulações contendo quercetina a 0,5% (p/p) pelo método de baixa energia sub-PIT. A formulação de menor índice de polidispersão (IPD) foi selecionada e submetida à Avaliação de Estabilidade Normal. Neste ensaio, a nanoemulsão foi armazenada em diferentes condições de temperatura por 90 dias, sendo analisados: características organolépticas, valor de pH, atividade antioxidante, conteúdo de quercetina, diâmetro médio de gotícula e potencial zeta. A fotoestabilidade da nanoemulsão envolveu a determinação do perfil de absorção e da sua atividade antioxidante após períodos de exposição à radiação UV/Vis. Posteriormente, a nanoemulsão foi caracterizada quanto aos seguintes parâmetros: eficiência de encapsulamento, perfil reológico, morfologia das gotículas por Microscopia Eletrônica de Transmissão Criogênica e Microscopia de Força Atômica (AFM). A possível interação entre a quercetina e os demais tensoativos presentes na nanoemulsão foi avaliada por Microscopia Confocal de Fluorescência e Análise térmica. A segurança da nanoemulsão foi determinada pelo método in vitro HET-CAM e por biocompatibilidade cutânea, em voluntários. A eficácia da nanoemulsão catiônica na fotoproteção das características da fibra capilar descolorida tratada com tintura cores loiro (12.0) ou ruivo (6.66) foi determinada avaliando-se os parâmetros cor, tração à ruptura, penteabilidade, fricção, perda proteica, morfologia das cutículas e nível de melanina radical por Espectroscopia de Ressonância Paramagnética Eletrônica (EPR), sendo calculado o Fator de Proteção Radicalar (FPR). As mechas de cabelo tingidas foram expostas à radiação UV/Vis artificial (500 W/m2) por até 180 h, sendo os parâmetros analisados antes e após o período de exposição. A nanoemulsão selecionada pelo reduzido IPD apresentava diâmetro médio de gotícula e potencial zeta iguais a 24,97±0,30 nm e 19,6±2,19 mV, respectivamente. Na Avaliação de Estabilidade Normal, a nanoemulsão armazenada a 45,0±2,0° C apresentou alterações significativas de todos os parâmetros avaliados, exceto potencial zeta, sendo que a elevação do diâmetro médio de gotícula acarretou em perda da transparência. A oxidação da quercetina e a instabilidade do tipo Ostwald ripening (ω3) foram as responsáveis pelas modificações observadas. No armazenamento a 5,0±2,0° C, a nanoemulsão manteve todos os parâmetros inalterados, mas a 25±2,0° C houve elevação discreta do diâmetro médio de gotícula, sem perda da funcionalidade. A nanoemulsão apresentou elevada fotoestabilidade, sem alteração da atividade antioxidante após exposição ao UV/Vis. A caracterização da nanoemulsão mostrou que a eficiência de encapsulamento foi de 99,8%, no mínimo, a formulação apresentou típico comportamento newtoniano e as gotículas apresentavam formato esférico. As imagens obtidas por Microscopia Confocal de Fluorescência e o ensaio de Análise térmica mostraram que a quercetina se encontra dentro das gotícula atuando, também, como co-tensoativo, por interagir com os tensoativos, além de exercer sua função antioxidante. A nanoemulsão foi classificada como levemente irritante (método HET-CAM), sendo esse baixo potencial de irritação corroborado pelo teste de biocompatibilidade cutânea. Na avaliação de eficácia, observou-se que a nanoemulsão protegeu a cor total (dE*) do cabelo tingido de loiro em 54%, e elevou a alteração da cor do cabelo tingido de ruivo em 47% (t = 180 h) em comparação à mecha controle. Além disso, a nanoemulsão melhorou a penteabilidade e reduziu os coeficientes de fricção. A radiação UV/Vis provocou elevada perda proteica e redução da espessura das cutículas em aproximadamente 50%. Concluiu-se, pelos resultados obtidos, que as moléculas que compoem a tintura capilar, principalmente os pigmentos mais escuros, atuaram como filtros solares, pois elas protegeram as estruturas proteicas da fibra. A nanoemulsão apresentou FPR igual a 3,31 e 4,14, para as mechas tingidas de loiro e ruivo, respectivamente. O FPR indica a capacidade de uma formulação em reduzir o nível de radicais livres formados por indução da radiação UV/Vis, um dos fatores que induzem alterações na fibra capilar tingida. Assim, considerando que a radiação UV/Vis atua tanto por mecanismos diretos quanto indiretos, e que alterações significativas de cor foram observadas mesmo quando o nível de radicais livres foi reduzido pela ação da quercetina, deve ser incorporada à formulação fotoprotetora capilar filtros solares associados a antioxidantes nanoestruturados. Tais filtros devem ficar aderidos à cutícula, de modo a protegê-la da degradação proteica e reduzir a entrada de radiação para o interior da fibra capilar, local onde os antioxidantes nanoestruturados devem atuar como uma segunda linha de defesa

The solar radiation, comprising ultraviolet (UV), visible (VIS) and infrared, is responsible for accelerating color and protein content changes in the hair fiber. In order to avoid this problem, this work proposes the incorporation of the flavonoid quercetin, a recognized antioxidant molecule, in a cationic nanoemulsion for hair application. For this, formulations containing quercetin 0.5% (w/w) were developed by the low-energy sub-PIT method. The formulation with a lower polydispersity index (PDI), which had HLB value (Hydrophilic-Lipophilic Balance) equal to 12.5 was selected and subjected to the Normal Stability Test. In this assay, the nanoemulsion was stored under different temperature conditions for 90 days, and the following parameters were analyzed: organoleptic properties, pH, antioxidant activity, quercetin content, average droplet diameter and zeta potential. The photostability of the nanoemulsion involved the determination of the absorption profile and its antioxidant activity after periods of exposure to UV/Vis radiation. Subsequently, the nanoemulsion was characterized according to the following parameters: encapsulation efficiency, rheological profile, morphology of the droplets by Cryogenic Transmission Electron Microscopy and Atomic Force Microscopy (AFM). The possible interaction between quercetin and other surfactants present in the nanoemulsion was evaluated by Confocal Fluorescence Microscopy and thermal analysis. The safety of the nanoemulsion was assessed by the in vitro HET-CAM method and by cutaneous biocompatibility in volunteers. The photoprotection effectiveness of the bioactive cationic nanoemulsion was evaluated in blond (color 12.0) and auburn (color 6.66) dyed hair fibers by assessing the parameters: color, tensile break, combing, friction, protein loss, morphology of cuticles and level of melanin radical by Electron Paramagnetic Resonance Spectroscopy (EPR). The Radical Hair Protection Factor (RHF) was calculated. Dyed hair tresses were exposed to UV/Vis artificial radiation (500 W/m2) for 180 h. The parameters were analyzed before and after the exposure period. The nanoemulsion selected due to its reduced PDI had an average droplet diameter and zeta potential equal to 24.97±0.30 nm and 19.6±2.19 mV, respectively. In the Normal Stability Test, the nanoemulsion stored at 45.0 ± 2.0º C showed significant changes in all parameters except zeta potential, and the increase in the average droplet diameter resulted in the loss of transparency. Oxidation of quercetin and Ostwald ripening instability (ω3) were responsible for the changes. At 5.0 ± 2.0º C, the nanoemulsion kept all parameters unchanged, but at 25.0±2.0º C there was a slight increase in the average droplet diameter without loss of functionality. The nanoemulsion showed high photostability since antioxidant activity was not altered after UV/Vis exposure. The characterization of the nanoemulsion showed that the encapsulation efficiency was 99.8% at least, the formulation showed typical Newtonian behavior and droplets were spherical. The images obtained by Confocal Fluorescence Microscopy and thermal analysis showed that quercetin was within the droplet acting, also, as a cosurfactant, due to the interaction with the surfactants. The nanoemulsion was classified as slightly irritating (HET-CAM method), and this low irritation potential was supported by the cutaneous biocompatibility assay. The photoprotective effectiveness evaluation showed that the nanoemulsion protected the total color (dE*) of blond dyed hair in 54%, but raised the color change of auburn dyed hair in 47% (t = 180 h). In addition, the nanoemulsion improved combability and reduced coefficients of friction. UV/Vis radiation caused high protein loss and reduced cuticle thickness by approximately 50%. It was concluded that the molecules that compose hair dye, especially the darker pigments, acted as sun filters because they protected the protein structures of the hair fiber. The nanoemulsion showed RHF equal to 3.31 and 4.14 for blond and auburn dyed hair, respectively. The RHF indicates the ability of a formulation to reduce the level of free radicals formed by UV/Vis induction, one of the factors that induce changes in the dyed hair fibers. Thus, considering that the UV/Vis radiation acts by direct and indirect mechanisms and that significant changes in color were observed even when the level of free radicals has been reduced by the quercetin, chemical filters should be incorporated into hair formulations associated with nanostructured antioxidants in order to fully protect hair fiber. Such filters must be attached to the cuticle, protecting it from protein degradation and reducing the radiation input into the hair fiber, where the nanostructured antioxidants must act as a second line of defense

An Innovative Scalp-Dyeing Technique with Gentian Violet Solution During Follicular Unit Extraction for White-Haired Follicular Units

There exist some restrictions and difficulties in performing follicular unit extraction (FUE) in white-haired patients, for several reasons. In this paper, we introduce a novel technique for visualizing white hair during the punching procedure and graft preparation in FUE for white-haired patients. In white-haired older male patients, we dyed the surrounding scalp skin purple with a gentian violet solution-stained toothpick. Our method has several advantages: surgeons can easily focus on the center of the follicular unit and rapidly perform punching, they can recognize the condition of the harvested follicular units during FUE, and the hair transplant team can secure a clear view for trimming and loading into the implanter. We suggest that scalp dyeing in difficult FUE procedures, especially in patients with white hair, may be a simple method that provides a good visualization for donor site harvesting and for microdissection.

Not Available / 中南大学学报(医学版)

OBJECTIVE@#To evaluate the efficacy and influential factors for 308 nm excimer laser in the treatment of stable vitiligo patients.
@*METHODS@#A total of 207 stable vitiligo patients with 1 763 patches were treated with 308 nm excimer laser. Open-label study was carried out to investigate the efficacy and safety regarding the treatment with 308 nm excimer laser, and to compare the response under different conditions including gender, age, duration, lesion location, and hair color.
@*RESULTS@#After treatment, 560 (31.8%) patches achieved 100% repigmentation, 650 (36.9%) lesions showed 75%-99% repigmentation, 189(10.7%) showed 50%-75% repigmentation, 231(13.1%) showed 25%-49% repigmentation, 108(6.1%) showed 1%-24% repigmentation, 25(1.4%) displayed no response. The rates of total excellent response (50%-100% repigmentation) in underage patients was 86.9%, much higher than that in adult patients (P<0.001). Total excellent response rates was 90.6% in disease duration <2 years, and 40.7% in disease duration ≥2 years. Lesions on the faciocervical region responded better than trunk and limbs, showing 95.4%, 70.3%, and 41.7% total excellent response, respectively. Patients with poliosis showed 54.9% in total excellent response rate, much lower than 84.5% in patients without poliosis(P<0.001). No significant response differences in gender were found.
@*CONCLUSION@#308 nm excimer laser is effective and safe in treatment of vitiligo. Aging, disease duration, lesion location, and hair color in lesion may be the influential factors for 308 nm excimer laser in treatment of vitiligo patients.

Skin Pigmentation and Pigmentary Disorders: Focus on Epidermal/Dermal Cross-Talk

Variation in human skin and hair color is the most notable aspect of human variability and several studies in evolution, genetics and developmental biology contributed to explain the mechanisms underlying human skin pigmentation, which is responsible for differences in skin color across the world's populations. Despite skin pigmentation is primarily related to melanocytes functionality, the surrounding keratinocytes and extracellular matrix proteins and fibroblasts in the underlying dermal compartment actively contribute to cutaneous homeostasis. Many autocrine/paracrine secreted factors and cell adhesion mechanisms involving both epidermal and dermal constituents determine constitutive skin pigmentation and, whenever deregulated, the occurrence of pigmentary disorders. In particular, an increased expression of such mediators and their specific receptors frequently lead to hyperpigmentary conditions, such as in melasma and in solar lentigo, whereas a defect in their expression/release is related to hypopigmented disorders, as seen in vitiligo. All these interactions underline the relevant role of pigmentation on human evolution and biology.

Isolation and Quantification of Glycosaminoglycans from Human Hair Shaft

BACKGROUND: There is evidence that glycosaminoglycans (GAGs) are present in the hair shaft within the follicle but there are no studies regarding GAGs isolation and measurement in the human hair shaft over the scalp surface, it means, in the free hair shaft. OBJECTIVE: The purpose of our research was to isolate and measure the total GAGs from human free hair shaft. METHODS: Seventy-five healthy individuals participated in the study, 58 adults, men and women over the age of 50 and 17 children (aged 4~9). GAGs in hair samples, received from the parietal and the occipital areas, were isolated with 4 M guanidine HCl and measured by the uronic acid-carbazole reaction assay. RESULTS: GAGs concentration was significantly higher in the occipital area than in the parietal area, in all study groups. GAG levels from both areas were significantly higher in children than in adults. GAG levels were not associated with gender, hair color or type. CONCLUSION: We report the presence of GAGs in the human free hair shaft and the correlation of hair GAG levels with the scalp area and participants' age.

Manifestaciones dermatológicas de fibrosis quística en un lactante: acrodermatitis enteropática símil y pelo gris / Cutaneous manifestations of cystic fibrosis in an infant: acrodermatitis enteropathica and gray hair

Introducción: Las manifestaciones dermatológicas en el momento del diagnóstico de fibrosis quística son infrecuentes. Objetivo: Describir el caso de una lactante con una presentación dermatológica no habitual de fibrosis quística. Caso Clínico: Lactante que a los 2 meses de edad presenta un mal incremento pondoestatural. A los 4 meses presenta exantema cutáneo, edema y pelo gris. Dentro de su estudio se evidencia hipoproteinemia y anemia, y se confirma el diagnóstico de fibrosis quística mediante el estudio genético. Las alteraciones dermatológicas se revirtieron completamente tras la instauración de la terapia de reemplazo con enzimas pancreáticas. Este es el segundo caso reportado de pelo gris en niños con esta enfermedad. Conclusión: En niños con malnutrición que desarrollan alteraciones de la piel y fanéreos debemos sospechar enfermedades metabólicas como fibrosis quística.

Introduction: Cutaneous manifestations at the time of CF diagnosis are rare. Objective: To describe the case of an infant with an unusual cutaneous presentation of cystic fibrosis. Case report: The case is presented of an infant with delayed physical growth at two months, and at the age of four months, presented with a skin rash and gray hair. Tests revealed the presence of hypoproteinemia and anemia, with the diagnosis of Cystic Fibrosis being confirmed by genetic testing. The rash was completely resolved after pancreatic enzyme replacement therapy. This is the second gray hair case reported in children with this disease. Conclusion Metabolic diseases such as cystic fibrosis should be suspected in malnourished children who develop skin disorders.

Trichoscopic Findings of Hair Loss in Koreans

BACKGROUND: Trichoscopic findings of hair loss have been well described for the differential diagnosis of alopecia; however, critical findings were not thoroughly investigated or compared among all ethnic groups, including Asians. OBJECTIVE: We aimed to find any characteristic trichoscopic findings in Korean alopecia patients and to verify whether those findings are closely related to previously reported observations. METHODS: Three hundred and twenty-seven patients with hair loss of various causes and 160 normal scalps were analyzed. Trichoscopic examination was performed with a polarized-light handheld dermoscope. RESULTS: A total of 35 patterns of trichoscopic features were represented, and certain features were significantly common or observed exclusively in a particular type of alopecia as follows: yellow dots, exclamation mark hairs, and proximal tapering hairs (alopecia areata), trichoptilosis and pointed hairs (trichotillomania), corkscrew hairs, septate hyphae hairs, and comma hairs (tinea capitis), diffuse white area, fibrotic white dots, and tufting hairs (primary cicatricial alopecia), hair diameter diversity and peripilar sign (androgenetic alopecia), and short nonvellus hairs (telogen effluvium). CONCLUSION: The characteristic trichoscopic features for the differential diagnosis of alopecia in Koreans, shown as follicular, perifollicular, and hair shaft patterns, are similar to those of Caucasians; however, the frequencies of the pigment patterns are different between Koreans and Caucasians because of the contrast effect of the skin and hair color. Therefore, racial difference should be considered in the trichoscopic evaluation for differential diagnosis.

Trichoscopic Findings of Hair Loss in Koreans

BACKGROUND: Trichoscopic findings of hair loss have been well described for the differential diagnosis of alopecia; however, critical findings were not thoroughly investigated or compared among all ethnic groups, including Asians. OBJECTIVE: We aimed to find any characteristic trichoscopic findings in Korean alopecia patients and to verify whether those findings are closely related to previously reported observations. METHODS: Three hundred and twenty-seven patients with hair loss of various causes and 160 normal scalps were analyzed. Trichoscopic examination was performed with a polarized-light handheld dermoscope. RESULTS: A total of 35 patterns of trichoscopic features were represented, and certain features were significantly common or observed exclusively in a particular type of alopecia as follows: yellow dots, exclamation mark hairs, and proximal tapering hairs (alopecia areata), trichoptilosis and pointed hairs (trichotillomania), corkscrew hairs, septate hyphae hairs, and comma hairs (tinea capitis), diffuse white area, fibrotic white dots, and tufting hairs (primary cicatricial alopecia), hair diameter diversity and peripilar sign (androgenetic alopecia), and short nonvellus hairs (telogen effluvium). CONCLUSION: The characteristic trichoscopic features for the differential diagnosis of alopecia in Koreans, shown as follicular, perifollicular, and hair shaft patterns, are similar to those of Caucasians; however, the frequencies of the pigment patterns are different between Koreans and Caucasians because of the contrast effect of the skin and hair color. Therefore, racial difference should be considered in the trichoscopic evaluation for differential diagnosis.

The role of melanism in oncillas on the temporal segregation of nocturnal activity / O papel do melanismo na segregação temporal da atividade noturna do gato-do-mato-pequeno

The occurrence of coat colour polymorphisms in populations may promote the ecological success of species by permitting a wider spectrum of use of different subsets of available resources. We conducted an analysis of temporal segregation by comparing night brightness with nocturnal activity of spotted and melanistic oncillas (Leopardus tigrinus). Melanistic oncillas were more active during bright nights and spotted oncillas and other species were more active during dark nights. Each colour morph occupied a temporal niche outside the confidence interval of the other colour morph, demonstrating the ecological significance of polymorphic colour patterns in this felid species.

A ocorrência de polimorfismo no padrão de pelagem de populações pode promover o sucesso ecológico das espécies por permitir um amplo espectro de uso de diferentes parcelas de recursos disponíveis. Nós testamos a existência de diferença na segregação temporal do gato-do-mato-pequeno (Leopardus tigrinus), comparando a luminosidade durante períodos de atividade noturna de indivíduos pintados e melânicos. Indivíduos melânicos de gato-do-mato-pequeno foram mais ativos durante noites claras e indivíduos pintados de gato-do-mato-pequeno e outras espécies foram mais ativas durante noites escuras. Cada forma de coloração ocupou um nicho temporal fora do intervalo de confiança do outro, demonstrando a significância ecológica dos padrões de polimorfismo de colorações nesta espécie de felino.

Hallazgo por neuroimaginología de microangiopatía cerebral retiniana con calcificaciones y quistes / Neuroimaging findings in cerebroretinal microangiopathy with calcifications and cysts

La microangiopatía cerebral retiniana con calcificaciones y quistes es una enfermedad poco frecuente, caracterizada por alteraciones cerebrales, retinianas y óseas, así como por predisposición al sangrado gastrointestinal. Existen pocos reportes de casos de esta condición, especialmente en adultos, en quienes la incidencia es baja. Los hallazgos por medio de neuroimágenes son característicos, con calcificaciones bilaterales y múltiples formaciones quísticas. El propósito de este artículo fue hacer una revisión bibliográfica e ilustrar dos casos cuyo diagnóstico fue posible con la ayuda de neuroimágenes.

Cerebroretinal microangiopathy with calcifications and cysts is a rare condition characterized by brain, retinal and bone anomalies, as well as a predisposition to gastrointestinal bleeding. There are few reported cases of this condition in adults, among whom the incidence is low. Neuroimaging findings are characteristic, with bilateral calcifications, leukoencephalopathy and intracranial cysts. The purpose of this article was to do a literature survey and illustrate two cases diagnosed with the aid of neuroimaging.

Hair cosmetics.

The hair cosmetic industry has undergone a revolutionary change over the last two decades. The focus has dramatically veered from merely cleaning to repair, increasing the tensile strength, reducing oxidative damage, and stimulating growth. Newer shorter procedures to make hair look naturally more lustrous, smooth, and manageable have evolved. Specialized grooming products have been formulated to cleanse, calm, and condition the hair, and are tailored for different hair-types, for example, dry, dry-damaged, oily, colored, and gray hair. Other products are formulated to alter the color or structure of the hair shaft, for example, hair dyes, perming/relaxing. Hair sprays and waxes/gels, can alter the 'lift' of the hair-shaft. Although dermatologists are experts in managing scalp and hair diseases, the esthetic applications of newer cosmetic therapies still remain elusive. This article attempts to fill the lacunae in our knowledge of hair cosmetics and esthetic procedures relevant in today's rapidly changing beauty-enhancing industry, with special emphasis on the Indian scenario for chemical and 'natural' hair products.

Premature graying of hair.

Premature graying is an important cause of low self-esteem, often interfering with socio-cultural adjustment. The onset and progression of graying or canities correlate very closely with chronological aging, and occur in varying degrees in all individuals eventually, regardless of gender or race. Premature canities may occur alone as an autosomal dominant condition or in association with various autoimmune or premature aging syndromes. It needs to be differentiated from various genetic hypomelanotic hair disorders. Reduction in melanogenically active melanocytes in the hair bulb of gray anagen hair follicles with resultant pigment loss is central to the pathogenesis of graying. Defective melanosomal transfers to cortical keratinocytes and melanin incontinence due to melanocyte degeneration are also believed to contribute to this. The white color of canities is an optical effect; the reflection of incident light masks the intrinsic pale yellow color of hair keratin. Full range of color from normal to white can be seen both along individual hair and from hair to hair, and admixture of pigmented and white hair is believed to give the appearance of gray. Graying of hair is usually progressive and permanent, but there are occasional reports of spontaneous repigmentation of gray hair. Studies evaluating the association of canities with osteopenia and cardiovascular disease have revealed mixed results. Despite the extensive molecular research being carried out to understand the pathogenesis of canities, there is paucity of effective evidence-based treatment options. Reports of repigmentation of previously white hair following certain inflammatory processes and use of drugs have suggested the possibility of cytokine-induced recruitment of outer sheath melanocytes to the hair bulb and rekindled the hope for finding an effective drug for treatment of premature canities. In the end, camouflage techniques using hair colorants are outlined.