Bird's Nest View from a Dermatologist's Eye

Overview

Journal Int J Trichology

Date 2016 Apr 30

PMID 27127367

Citations 7

Authors

Sethi Anisha

Kaur Sukhjot

Gupta Kumar Sunil

Puri Sandeep

Affiliations

Soon will be listed here.

Abstract

Plica neuropathica also known as "birds nest" is irreversible matting of hair seen in otherwise healthy individuals and is usually associated with use of ionic/herbal soaps, shampoos, parasitic infestations, psychiatric alterations, or neglect. Anagen effluvium is a known side effect of many immunosuppressive drugs. Rarely matting of hair has been reported following azathioprine. We report plica neuropathica in two chronically ill patients on immunosuppressive drugs, that is, azathioprine and methotrexate along with a review of literature of its etiological factors and pathogenesis.

Citing Articles

Rare complications of pediculosis capitis.

Wojtania J, Jakubczak Z, Narbutt J, Skibinska M, Sobolewska-Sztychny D, Domurad-Falenta J Postepy Dermatol Alergol. 2025; 41(6):637-638.

PMID: 39877118 PMC: 11770578. DOI: 10.5114/ada.2024.145441.

Plica Neuropathica in 2 Hispanic Patients.

Asz-Sigall D, Ramos-Cavazos C, Gay-Munoz P, Gonzalez-Gutierrez J, Guerrero-Alvarez A, Corona-Rodarte E Skin Appendage Disord. 2023; 9(6):453-456.

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Plica Neuropathica as a Presenting Rare Dermatologic Symptom of Schizophrenia.

Piyanonpong W, Suchonwanit P Clin Cosmet Investig Dermatol. 2023; 16:1937-1943.

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Alopecia Areata Complicated by Plica Neuropathica: A Rare Case Report.

Agarwal S, Vijay A, Sharma M, Jain A Int J Trichology. 2022; 14(5):183-185.

PMID: 36404879 PMC: 9674058. DOI: 10.4103/ijt.ijt_10_22.

References

Susser W, Grant-Kels J . Mucocutaneous reactions to chemotherapy. J Am Acad Dermatol. 1999; 40(3):367-98; quiz 399-400. DOI: 10.1016/s0190-9622(99)70488-3. View

Botchkarev V, Komarova E, Siebenhaar F, Botchkareva N, Komarov P, Maurer M . p53 is essential for chemotherapy-induced hair loss. Cancer Res. 2000; 60(18):5002-6. View

Al Ghani M, Geilen C, Blume-Peytavi U, Orfanos C . Matting of hair: a multifactorial enigma. Dermatology. 2000; 201(2):101-4. DOI: 10.1159/000018470. View

Kwinter J, Weinstein M . Plica neuropathica: novel presentation of a rare disease. Clin Exp Dermatol. 2006; 31(6):790-2. DOI: 10.1111/j.1365-2230.2006.02246.x. View

Zawar V, Mhaskar S . Matting of hair following use of a new herbal shampoo. J Cosmet Dermatol. 2006; 2(1):42-4. DOI: 10.1111/j.1473-2130.2003.00028.x. View

Gnanaraj P, Venugopal V, Pandurangan C . Plica polonica in association with pediculosis capitis and scabies - a case report. Int J Dermatol. 2007; 46(2):151-2. DOI: 10.1111/j.1365-4632.2006.02933.x. View

De D, Narang T, Kanwar A . Frequent combing as a cause of plica neuropathica. J Eur Acad Dermatol Venereol. 2007; 21(9):1283-4. DOI: 10.1111/j.1468-3083.2007.02179.x. View

Trueb R . Chemotherapy-induced hair loss. Skin Therapy Lett. 2010; 15(7):5-7. View

Le Page J . On Neuropathic Plica. Br Med J. 2010; 1(1204):160. PMC: 2306864. DOI: 10.1136/bmj.1.1204.160. View

10.

Kumar P, Antony B, Chakravarthy A, Koyamu A . Plica neuropathica (polonica) in schizophrenia - a case report and review of literature. Indian J Psychiatry. 2011; 43(3):281-3. PMC: 2956158. View

11.

Joshi R, Singh S . Plica Neuropathica (Plica polonica) Following Azathioprine-induced Pancytopenia. Int J Trichology. 2011; 2(2):110-2. PMC: 3107955. DOI: 10.4103/0974-7753.77523. View

12.

Kumar P, Rajmohan V . Plica neuropathica (polonica) in schizophrenia. Indian J Psychiatry. 2012; 54(3):288-9. PMC: 3512374. DOI: 10.4103/0019-5545.102439. View

13.

Sharma P, Saxena A, Jain R, Sharma A . Matting of the Hair Due to Onic Detergent. Indian J Dermatol Venereol Leprol. 2017; 53(3):179-180. View

14.

Mani Z, Sahni S, Mani M, Sahni P . Matting of Hair Due to Halo-egg Shampoo. Indian J Dermatol Venereol Leprol. 2017; 49(3):138-141. View

15.

Bogaty H, Dunlap F . Matting of hair. Arch Dermatol. 1970; 101(3):348-51. View

16.

Ramanan C, Ghorpade A . Plica neuropathica after using herbal soap. Int J Dermatol. 1993; 32(3):200-1. DOI: 10.1111/j.1365-4362.1993.tb02794.x. View