Li Yumeng M, Diaz-Perez Julio A, Obayomi Aderonke, Galimberti Fabrizio, Romanelli Paolo, Tosti Antonella
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Dermatology, Jackson Memorial Hospital, Miami, Florida, USA.
Int J Dermatol. 2023 Mar;62(3):428-431. doi: 10.1111/ijd.16200. Epub 2022 Apr 29.
Bubble hair deformity is an acquired abnormality characterized by air-filled cavity formations within the hair shaft, usually because of heat damage. Traditionally, bubble hair is diagnosed by visualization of characteristic bubbles under light microscopy. The increased utilization of trichoscopy (scalp dermoscopy) has led to its adoption in the diagnosis of many hair and scalp conditions, including bubble hair deformity. We sought to review clinical reports evaluating the patient profile, use of diagnostic imaging, and treatment options for bubble hair deformity. A systematic search of PubMed was performed in February 2021 using various keywords. Titles and abstracts were screened, leading to the selection of 11 case reports or series. The majority of patients were middle-aged Caucasian women who had used a heated tool to dry or style wet hair. Treatment consisted of cessation of heated tool usage. Light microscopy visualization of characteristic hair shaft cavities was used for diagnosis of bubble hair deformity in reports published prior to 2012. Diagnosis by trichoscopy was used in more recent reports. Our findings support the use of trichoscopy as a convenient and noninvasive method of diagnosing bubble hair deformity. More clinical studies are needed to evaluate the development of bubble hair deformity in ethnic hair.
气泡发畸形是一种后天性异常，其特征是毛干内形成充满空气的腔隙，通常是由于热损伤所致。传统上，气泡发是通过在光学显微镜下观察特征性气泡来诊断的。毛囊镜检查（头皮皮肤镜检查）的使用增加，使其被应用于包括气泡发畸形在内的许多毛发和头皮疾病的诊断。我们试图回顾评估气泡发畸形患者特征、诊断性影像学使用情况及治疗选择的临床报告。2021年2月，我们使用各种关键词对PubMed进行了系统检索。对标题和摘要进行了筛选，最终选择了11篇病例报告或系列研究。大多数患者是中年白人女性，她们曾使用加热工具吹干或造型湿发。治疗方法是停止使用加热工具。在2012年之前发表的报告中，通过光学显微镜观察特征性毛干腔隙来诊断气泡发畸形。在最近的报告中则采用毛囊镜检查进行诊断。我们的研究结果支持将毛囊镜检查作为诊断气泡发畸形的一种便捷且无创的方法。还需要更多的临床研究来评估不同种族毛发中气泡发畸形的发展情况。
