A 10-year-old boy presented with multiple circumscribed patches of abnormal hair on scalp []. The first patch was noticed on vertex at the age of 7 years. This was followed by the development of three new patches during the last 1 year; two on both temporal areas and one on the occipital area. The hairs in the affected area were thicker, curlier, with random hair shaft orientation, and normal underlying scalp. Trichoscopy revealed abnormal kinking of hair shafts []. Varying diameters of a single hair shaft [], trichorrhexis nodosa-like features [], kinking, and damaged cuticle [], with normal pigmentation were observed on hair microscopy. Color of the affected hair shafts was dark and uniform. These characteristic features were absent on microscopy of normal surrounding hair shafts []. Histopathology showed abnormal bending of the hair follicle above the hair bulb [], and irregularities of inner root sheath near the bulb at the bending []. A detailed cutaneous and systemic examination along with cardiac, ophthalmic, dental, skeletal, and nervous systems evaluation did not reveal any gross abnormality.
A 30 year-old Brazilian woman of skin phototype IV and pregnant for 35 weeks sought medical care for presenting hyperchromic lines on both legs for 5 weeks. Hyperchromia in the axillae and groin, which had appeared earlier in the pregnancy, were concurrent complaints. There were no associated symptoms. She had a history of gestational diabetes, which was been treated with NPH insulin since the 26th week of pregnancy and was under control. It was her second pregnancy, and she denied similar alterations in the previous one. Hormonal disorders had been previously discarded by an endocrinologist. Physical examination revealed demarcation lines from the perineum to the posteromedial portion of the thighs extending to the ankles through the popliteal fossae, bilaterally and symmetrically, in the interface between a hyperchromic lateral portion and a lighter medial portion ( and ). Hyperchromic axillae and prominent linea alba were also seen.