Sperling Leonard C, DiGiovanna John J
Department of Dermatology, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD 20854, USA.
Arch Dermatol. 2003 Sep;139(9):1189-92. doi: 10.1001/archderm.139.9.1189.
The mechanism causing the tiger tail phenomenon in trichothiodystrophy (alternating light and dark banding of hair shafts when examined with polarized light) has yet to be explained with certainty. However, we propose a simple and easily tested hypothesis to explain its striking aspect. Although the hair shafts we obtained from patients with trichothiodystrophy were fairly straight, the cortical hair fibers were not. We noticed that these fibers undulate up and down (or back and forth), a feature that is easily observed because of melanin granules embedded in each fiber. The undulations correspond exactly to the banding seen with polarization. Therefore, the tiger tail phenomenon seen in trichothiodystrophy and other hair shaft disorders is caused by a regular undulation of hair fibers within the shafts. Normal hair shafts do not exhibit the phenomenon because the hair fibers are straight and parallel to the long axis of the hair. It is the regular undulation of fibers that changes the optical properties of the hair shafts and causes a predictable banding when the shafts are examined by polarized light.
毛发硫营养不良中导致虎尾现象(用偏振光检查时毛干出现明暗交替条纹)的机制尚未得到确切解释。然而,我们提出一个简单且易于验证的假说来解释其显著特征。尽管我们从毛发硫营养不良患者身上获取的毛干相当直,但皮质毛发纤维并非如此。我们注意到这些纤维上下(或前后)波动,由于每条纤维中嵌入的黑色素颗粒,这一特征很容易观察到。这些波动与偏振光下看到的条纹完全对应。因此,毛发硫营养不良及其他毛干疾病中出现的虎尾现象是由毛干内毛发纤维的规则波动引起的。正常毛干不表现出这种现象,因为毛发纤维是直的且与毛干的长轴平行。正是纤维的规则波动改变了毛干的光学特性,并在毛干用偏振光检查时导致可预测的条纹出现。