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pili annulati

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Pili annulati

The name pili annulati refers to hair fiber with rings - sometimes called ringed hair. In pili annulati the hair fiber has alternating light and dark bands along its length like zebra stripes. Usually this hair defect is most obvious in people with blond hair as dark hair obscures the light and dark band pattern.

Pili annulati is the result of abnormal keratinization in the hair shaft. The cortex is not a solid structure. It contains spaces or vacuoles between the cells in the center of the cortex. These spaces are filled with air and make excellent minute mirrors to reflect light. Along the length of a hair fiber there are clusters of these spaces at regular intervals that reflect the light while neighboring sections of the fiber with fewer spaces reflect much less light. Consequently the hair looks like it has stripes. The bands can be seen regardless of what direction the source of light is coming from. The hair fiber is overall still very strong although the cuticle can be disrupted and folded. Hair breaking can occur in these fibers across the bands where the hair shaft spaces are present.

Pili annulati most frequently develops in children and can be present from birth. Some individuals show a family inheritance pattern that is autosomal dominant. Other cases are isolated and sporadic with no apparent overt genetic component. Pili annulati can sometimes be found in people with alopecia areata or woolly hair. There is no known treatment but the banding pattern is quite appealing.


Pili annulati references

  • Moffitt DL, Lear JT, de Berker DA, Peachey RD. Pili annulati coincident with alopecia areata. Pediatr Dermatol. 1998 Jul-Aug;15(4):271-3.
  • Meyvisch K, Song M, Dourov N. Review and new case reports on scanning electron microscopy of pili annulati, Monilethrix and Trichothiodystrophy. Scanning Microsc. 1992 Jun;6(2):537-41.
  • Brambilla L, Boneschi V, Chiappino G, Bruognolo L, Sala F, Tadini GL. [Structural and ultrastructural study of an isolated case of pili annulati]. G Ital Dermatol Venereol. 1990 Sep;125(9):383-7.
  • Lalevic-Vasic B, Polic D. [Pili annulati. A scanning electron microscopy study]. Ann Dermatol Venereol. 1988;115(4):433-40.
  • Ito M, Hashimoto K, Sakamoto F, Sato Y, Voorhees JJ. Pathogenesis of pili annulati. Arch Dermatol Res. 1988;280(5):308-18.
  • Gummer CL, Dawber RP. Pili annulati: electron histochemical studies on affected hairs. Br J Dermatol. 1981 Sep;105(3):303-9.
  • Amichai B, Grunwald MH, Halevy S. Hair abnormality present since childhood. Pili annulati. Arch Dermatol. 1996 May;132(5):575, 578.
  • Smith SR, Kirkpatrick RC, Kerr JH, Mezebich D. Alopecia areata in a patient with pili annulati. J Am Acad Dermatol. 1995 May;32(5 Pt 1):816-8.
  • Dini G, Casigliani R, Rindi L, Grappone C, Melli MC, Lotti T. Pili annulati. Optical and scanning electron microscopic studies. Int J Dermatol. 1988 May;27(4):256-7.
  • Tomidei M, Bundino S, Puiatti P, Torre C, Strani GF. [Pili annulati: study of a family with ultrastructural research]. G Ital Dermatol Venereol. 1987 Sep;122(9):427-30.
  • Price VH, Thomas RS, Jones FT. Pili annulati. Optical and electron microscopic studies. Arch Dermatol. 1968 Dec;98(6):640-7.

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