Two cases of trichostasis spinulosa treated with cyanoacrylic adhesive

Trichostasis spinulosa: An entity with cosmetic concern

“…[1,18] Needle evacuation and extraction with the help of forceps, tweezers, or comedone extractor is painful and can be complicated by scarring and recurrences. [6,36,37] A modification of cyanoacrylate skin surface stripping (used to harvest a thin layer of stratum corneum) was also described to mechanically debride the spiny projections. A drop of cyanoacrylate liquid adhesive is placed on a transparent glass slide, which is then pressed firmly onto the target site of the skin for 15-30 s. e horny plugs along with the hairs of TS get attached and subsequently removed when the slide is rocked from side to side with little force.…”

“…Erosions and oozing can occur with this method. [37] Depilatory wax and removal of hairs by depilatory cellulose lacquer provide temporary relief. [6] Hydroactive adhesive tape (Biore), a deep cleaning pad can be applied on wet skin for 10 min and then carefully peeled off.…”

Trichostasis spinulosa misdiagnosed as alopecia areata

“…The basic investigations, namely, complete Histopathologic examination shows a dilated hair follicle engulfed with multiple vellus hairs with mild inflammation. 7,8 Occasionally, there is a possibility to find areas with signs of excoriation and bleeding; and finally traction alopecia is characterized by hair casts and cadaverized hairs. Black dots could be observed in nearly half of AA cases.…”