Pili Torti: A Feature of Numerous Congenital and Acquired Conditions

Pili torti is a rare condition characterized by the presence of the hair shaft, which is flattened at irregular intervals and twisted 180° along its long axis. It is a form of hair shaft disorder with increased fragility. The condition is classified into inherited and acquired. Inherited forms may b...

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Main Authors: Aleksandra Hoffmann, Anna Waśkiel-Burnat, Jakub Żółkiewicz, Leszek Blicharz, Adriana Rakowska, Mohamad Goldust, Małgorzata Olszewska, Lidia Rudnicka
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/17/3901
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author Aleksandra Hoffmann
Anna Waśkiel-Burnat
Jakub Żółkiewicz
Leszek Blicharz
Adriana Rakowska
Mohamad Goldust
Małgorzata Olszewska
Lidia Rudnicka
author_facet Aleksandra Hoffmann
Anna Waśkiel-Burnat
Jakub Żółkiewicz
Leszek Blicharz
Adriana Rakowska
Mohamad Goldust
Małgorzata Olszewska
Lidia Rudnicka
author_sort Aleksandra Hoffmann
collection DOAJ
description Pili torti is a rare condition characterized by the presence of the hair shaft, which is flattened at irregular intervals and twisted 180° along its long axis. It is a form of hair shaft disorder with increased fragility. The condition is classified into inherited and acquired. Inherited forms may be either isolated or associated with numerous genetic diseases or syndromes (e.g., Menkes disease, Björnstad syndrome, Netherton syndrome, and Bazex-Dupré-Christol syndrome). Moreover, pili torti may be a feature of various ectodermal dysplasias (such as Rapp-Hodgkin syndrome and Ankyloblepharon-ectodermal defects-cleft lip/palate syndrome). Acquired pili torti was described in numerous forms of alopecia (e.g., lichen planopilaris, discoid lupus erythematosus, dissecting cellulitis, folliculitis decalvans, alopecia areata) as well as neoplastic and systemic diseases (such as cutaneous T-cell lymphoma, scalp metastasis of breast cancer, anorexia nervosa, malnutrition, cataracts, and chronic graft-vs.-host disease). The condition may also be induced by several drugs (epidermal growth factor receptor inhibitors, oral retinoids, sodium valproate, and carbamide perhydrate). The diagnosis of pili torti is based on trichoscopic or microscopic examination. As pili torti is a marker of numerous congenital and acquired disorders, in every case, the search for the signs of underlying conditions is recommended.
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spelling doaj.art-a484210bc7de4d118f2986421e8262682023-11-22T10:49:06ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011017390110.3390/jcm10173901Pili Torti: A Feature of Numerous Congenital and Acquired ConditionsAleksandra Hoffmann0Anna Waśkiel-Burnat1Jakub Żółkiewicz2Leszek Blicharz3Adriana Rakowska4Mohamad Goldust5Małgorzata Olszewska6Lidia Rudnicka7Department of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University, 55122 Mainz, GermanyDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandDepartment of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, PolandPili torti is a rare condition characterized by the presence of the hair shaft, which is flattened at irregular intervals and twisted 180° along its long axis. It is a form of hair shaft disorder with increased fragility. The condition is classified into inherited and acquired. Inherited forms may be either isolated or associated with numerous genetic diseases or syndromes (e.g., Menkes disease, Björnstad syndrome, Netherton syndrome, and Bazex-Dupré-Christol syndrome). Moreover, pili torti may be a feature of various ectodermal dysplasias (such as Rapp-Hodgkin syndrome and Ankyloblepharon-ectodermal defects-cleft lip/palate syndrome). Acquired pili torti was described in numerous forms of alopecia (e.g., lichen planopilaris, discoid lupus erythematosus, dissecting cellulitis, folliculitis decalvans, alopecia areata) as well as neoplastic and systemic diseases (such as cutaneous T-cell lymphoma, scalp metastasis of breast cancer, anorexia nervosa, malnutrition, cataracts, and chronic graft-vs.-host disease). The condition may also be induced by several drugs (epidermal growth factor receptor inhibitors, oral retinoids, sodium valproate, and carbamide perhydrate). The diagnosis of pili torti is based on trichoscopic or microscopic examination. As pili torti is a marker of numerous congenital and acquired disorders, in every case, the search for the signs of underlying conditions is recommended.https://www.mdpi.com/2077-0383/10/17/3901pili tortitrichoscopyhair shaft abnormalitieshair shaft disorderhair diseasetwisted hair
spellingShingle Aleksandra Hoffmann
Anna Waśkiel-Burnat
Jakub Żółkiewicz
Leszek Blicharz
Adriana Rakowska
Mohamad Goldust
Małgorzata Olszewska
Lidia Rudnicka
Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
Journal of Clinical Medicine
pili torti
trichoscopy
hair shaft abnormalities
hair shaft disorder
hair disease
twisted hair
title Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
title_full Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
title_fullStr Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
title_full_unstemmed Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
title_short Pili Torti: A Feature of Numerous Congenital and Acquired Conditions
title_sort pili torti a feature of numerous congenital and acquired conditions
topic pili torti
trichoscopy
hair shaft abnormalities
hair shaft disorder
hair disease
twisted hair
url https://www.mdpi.com/2077-0383/10/17/3901
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AT leszekblicharz pilitortiafeatureofnumerouscongenitalandacquiredconditions
AT adrianarakowska pilitortiafeatureofnumerouscongenitalandacquiredconditions
AT mohamadgoldust pilitortiafeatureofnumerouscongenitalandacquiredconditions
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