Trichostasis Spinulosa and Its Management

Diseases of cutaneous appendages

“…574 Widespread trichostasis spinulosa has been reported in a patient on hemodialysis for chronic renal failure. 503,574-576 With a hand lens, multiple vellus hairs can sometimes be seen protruding from the patulous follicles.…”

Trichostasis spinulosa: itchy follicular papules in young adults

“…Trichostasis spinulosa is a therapy‐resistant disorder, and follows a chronic course. Emollients, local keratolytics, local and oral retinoids, and several means of depilation are advocated in the literature as treatment options 7,16,19,20 . Regular depilation appears to be the most effective option, but is time consuming if extensive areas of skin need to be treated.…”

Two cases of trichostasis spinulosa treated with cyanoacrylic adhesive

“…Abnormalities of the follicular unit, microorganisms, in particular Propionibacterium acne and Pityrosporum, endocrine and metabolic disorders and external factors are the causative factors reported in the literature [1,2]. Topical keratolytics, retinoids, hydroactive adhesive pads, depilation and hair removal laser systems are used in treatment, with variable success [3][4][5][6][7]. We present another treatment option in two patients with TS.…”

“…We present another treatment option in two patients with TS. The plugs of hairs may be removed by the use of comedone extractors, depilation, hydroactive adhesive pads and laser hair removal systems [4][5][6][7]. She had used topical benzoyl peroxide gel without any improvement.…”

“…A 37-year-old woman presented to our clinic complaining of black dots on her nose and chin. Depilatory waxes [4] have been reported as successful, but most of them must be heated, therefore might cause thermal burns and hyperpigmentation. Dermatological examination revealed multiple black-colored spinous plugs located bilaterally on the nose, chin and cheeks.…”