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poliosis

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Poliosis

Poliosis is the name given to a localized patch of white hair. Most frequently, poliosis presents as a white forelock, but it can involve a patch of white hair in normally pigmented hair anywhere on the body. Poliosis can occur in otherwise healthy people and may represent no more than an anomaly of hair and skin pigmentation.

However, poliosis is also observed in association with a wide variety of conditions. At the mild end of the spectrum, a minor genetic defect called piebaldism results in poliosis. Somewhat more significant, poliosis may be associated with pigmentary disturbances of the eye, as well as hair loss in hypogonadism and thyroid diseases.

Localized changes in the skin may also cause poliosis. Nevi and various kinds and focal skin cancers may result in patches of white hair growth in the areas of affected skin.

At the other end of the disease and disorder spectrum where poliosis can be found, several genetic disorders involve poliosis such as Marfan's syndrome, Vogt-Koyanagi-Harada (VKH) syndrome, and Waardenburg's syndrome. These syndromes involve other physical symptoms and mental retardation to varying degrees.


Poliosis references

  • Sotirova VN, Rezaie TM, Khoshsorour MM, Sarfarazi M. Identification of a novel mutation in the paired domain of PAX3 in an Iranian family with waardenburg syndrome type I. Ophthalmic Genet. 2000 Mar;21(1):25-8.
  • Chang T, Hashimoto K, Bawle EV. Spontaneous contraction of leukodermic patches in Waardenburg syndrome. J Dermatol. 1993 Nov;20(11):707-11.
  • Beniz J, Forster DJ, Lean JS, Smith RE, Rao NA. Variations in clinical features of the Vogt-Koyanagi-Harada syndrome. Retina. 1991;11(3):275-80.
  • Williams R, Taylor D. Tuberous sclerosis. Surv Ophthalmol. 1985 Nov-Dec;30(3):143-54.
  • Freij BJ, Levy HL, Dudin G, Mutasim D, Deeb M, Der Kaloustian VM. Clinical and biochemical characteristics of prolidase deficiency in siblings. Am J Med Genet. 1984 Nov;19(3):561-71.
  • Rao NA, Marak GE. Sympathetic ophthalmia simulating vogt-Koyanagi-Harada's disease: a clinico-pathologic study of four cases. Jpn J Ophthalmol. 1983;27(3):506-11.
  • McGaughran J. Another case of preaxial polydactyly and white forelock in branchio-oculo-facial syndrome. Clin Dysmorphol. 2001 Jan;10(1):67-8.
  • Waheed K, Laganowski H. Bilateral poliosis and granulomatous anterior uveitis associated with latanoprost use and apparent hypotrichosis on its withdrawal. Eye. 2001 Jun;15(Pt 3):347-9.
  • Yacubian EM, Rosemberg S, Garrido Neto TL, Marie SK, Valerio RM, Jorge CL. Rasmussen encephalitis associated with segmental vitiligo of the scalp: clinicopathologic report. J Child Neurol. 2001 May;16(5):374-7.
  • Tsuruta D, Hamada T, Teramae H, Mito H, Ishii M. Inflammatory vitiligo in Vogt-Koyanagi-Harada disease. J Am Acad Dermatol. 2001 Jan;44(1):129-31.
  • Nye JS, Hayes EA, Amendola M, Vaughn D, Charrow J, McLone DG, Speer MC, Nance WE, Pandya A. Myelocystocele-cloacal exstrophy in a pedigree with a mitochondrial 12S rRNA mutation, aminoglycoside-induced deafness, pigmentary disturbances, and spinal anomalies. Teratology. 2000 Mar;61(3):165-71.
  • Yosipovitch G, Feinmesser M, Mutalik S. Poliosis associated with a giant congenital nevus. Arch Dermatol. 1999 Jul;135(7):859-61.
  • Walker S, Lucke TW, Burden AD, Thomson J. Poliosis circumscripta associated with scalp naevi: a report of four cases. Br J Dermatol. 1999 Jun;140(6):1182-4.
  • Rathinam SR, Vijayalakshmi P, Namperumalsamy P, Nozik RA, Cunningham ET Jr. Vogt-Koyanagi-Harada syndrome in children. Ocul Immunol Inflamm. 1998 Sep;6(3):155-61.
  • Megarbane A, Hawat N, Chedid P, Bleik J, Delezoide AL. Branchio-oculo-facial syndrome associated with a white forelock. Clin Dysmorphol. 1998 Jul;7(3):221-3.
  • Oblinger E, Cibis A, Peter RU, Proebstle TM. [Anogenital condylomata acuminata, mucocutaneous candidiasis, vitiligo, keratopathy and primary hypoparathyroidism in an autoimmune polyglandular syndrome type 1]. Dtsch Med Wochenschr. 1997 Nov 7;122(45):1382-6.
  • Desch LW. White forelock could be early sign of tuberous sclerosis. Arch Pediatr Adolesc Med. 1996 Jun;150(6):651-2.
  • Simon NP, Simon MW, Tunnessen WW Jr. Picture of the month. White forelock of hair in a newborn. Arch Pediatr Adolesc Med. 1995 Sep;149(9):1031-2.
  • Dunn CL, Harrington A, Benson PM, Sau P, James WD. Melanoma of the scalp presenting as poliosis circumscripta. Arch Dermatol. 1995 May;131(5):618-9.
  • Schallreuter KU, Lemke R, Brandt O, Schwartz R, Westhofen M, Montz R, Berger J. Vitiligo and other diseases: coexistence or true association? Hamburg study on 321 patients. Dermatology. 1994;188(4):269-75.
  • Mendez B, Wood C. Poliosis in a scalp nodule. Congenital intradermal nevus with poliosis. Arch Dermatol. 1993 Oct;129(10):1333, 1336.
  • Herman KL, Salman K, Rose LI. Related Articles White forelock in Marfan's syndrome: an unusual association, with review of the literature. Cutis. 1991 Jul;48(1):82-4.
  • Asensio V, del Pozo LJ, Asensio M, Lerida MT. [Megalotrichiasis and poliosis caused by cyclosporin A]. Med Clin (Barc). 1991 Jun 1;97(1):39.
  • Colamaria V, Zambelli L, Tinazzi P, Dalla Bernardina B. Tuberous sclerosis associated with partial gigantism in a child. Brain Dev. 1988;10(3):178-81.
  • Fusco R, Magli A, Guacci P, Tenore A. Empty sella syndrome. A case report. Ophthalmologica. 1988;196(2):92-7.
  • Awan KJ. Leaf-shaped lesions of ocular fundus and white eyelashes in tuberous sclerosis. South Med J. 1982 Feb;75(2):227-8.
  • Shah KN, Dalal SJ, Desai MP, Sheth PN, Joshi NC, Ambani LM. White forelock, pigmentary disorder of irides, and long segment Hirschsprung disease: possible variant of Waardenburg syndrome. J Pediatr. 1981 Sep;99(3):432-5.
  • Philip J, Antony, Joseph PP. "White forelock"-an embarassing curiosity. J Assoc Physicians India. 1981 Jun;29(6):499-501.
  • Goodman RM, Yahav Y, Frand M, Barzilay Z, Nissan E, Hertz M. A new white forelock (poliosis) syndrome with multiple congenital malformations in two sibs. Clin Genet 1980 Jun;17(6):437-42
  • Whyte MP, Murphy WA. Osteopathia striata associated with familial dermopathy and white forelock: evidence for postnatal development of osteopathia striata. Am J Med Genet. 1980;5(3):227-34.
  • Sober AJ, Haynes HA. Uveitis, poliosis, hypomelanosis, and alopecia in a patient with malignant melanoma. Arch Dermatol. 1978 Mar;114(3):439-41.
  • Fellman AC, Mehregan AH. Halo nevi of scalp with poliosis. Arch Dermatol. 1976 Apr;112(4):559.
  • Koplon BS, Shapiro L. Poliosis overlying a neurofibroma. Arch Dermatol. 1968 Dec;98(6):631-3.

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