Jump to content
In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1604 - 18 August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

40/F localised area of dry brittle hair

Case Posted by Dr Arti Bakshi

  Report Record

User Feedback

Dr. Mona Abdel-Halim


I think these structures within the shaft are bubbles. Mainly in the region of the medulla. I think this could be "bubble hair", a defect that results from over heating (cosmetic effect)... Have never seen it, so I might be totally wrong :-)

Share this comment

Link to comment

Arti Bakshi


Well done, Mona!

This is an example of ''bubble hair'', an acquired hair shaft abnormality. This lady did have a history of both chemical treatment and overheating. The damaged hair was trimmed and the new hair growth has been normal ( she has now altered her hair styling techniques!)  

There is only limited histo description of this entity. However, there is a lovely histology image of this diagnosis  (rather similar to this case) and some EM images as well in Sperling's 'Atlas of Hair Pathology', a book I would highly recommend for anyone reporting alopecia biopises.

Pili annulati is a good differential, but there was no alternating pattern of light and dark bands clinically or histologically. (the bubbles were randomly scattered in the shaft).

Share this comment

Link to comment

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Create New...