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To the Editor, A two year old baby girl was admitted with a complaint of pity on her sole of foot for ten days. The physical examination revealed a hair attached to the skin, with mild erythema on the base of the heel region of the left foot; at first glance superficial appearance of a cut about 1cm long. The hair could not be extracted via tweezers because of epithelialised surface. Following the local anesthesia and sterilization of the region, the hair was removed with the help of a clamp by shallow incision of the epithelium. Injuries by foreign bodies are a common problem in children. Cutaneous foreign bodies are also occasionally seen by paediatricians, and these patients are referred to dermatologists because of skin reactions. Hair can also be rarely a foreign body in children. Such a condition has also been described as imbedded hair, pili migrans, burrowing hair, hair fragment in the skin, creeping hair, cutaneous pili eruption. To our knowledge, twenty-one cases of an erythematous cutaneous eruption due to migrating hair shafts have been documented. Four pediatric cases have been described; all have been on the sole of one foot. Sharp head of the hair allows the hair to penetrate the epidermis more easily. It is assumed that the hair shaft is penetrating the epidermis due to friction. A hair shaft can penetrate the skin in a child, especially when the child has been walking without shoes.

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2012-04-05   |   1,001 visitas   |   Evalua este artículo 0 valoraciones

Vol. 110 Núm.2. Marzo-Abril 2012 Pags. 190-192 Arch Argent Pediatr 2012; 110(2)