case_images: PMC3129123_01
case_images: A glistening white spotty appearance in the temporal region of the scalp in case 1
case_images: IJT-3-34-g001.jpg
case_images: PMC3129123_01_IJT-3-34-g001.jpg
case_images: F1
case_images: A 28 year old male presented with a history of "broken hairs with glistening tips" on the temporal aspects of the scalp [Figure 1].
case_images: The distinctive comb attributed as the cause of trauma, with short and vertical bristles, arranged in linear rows and equidistant from each other. Also appreciate that the comb is made of plastic, has a round base with a slot to slip the fingers in for gripping
case_images: IJT-3-34-g002.jpg
case_images: PMC3129123_01_IJT-3-34-g002.jpg
case_images: F2
case_images: The bristles were short and vertical, arranged in linear rows and equidistant from each other [Figure 2].
case_images: The technique of combing adopted by these patients. (The comb was run over the scalp as vigorous strokes from the frontal aspect, brushed across the vertex and temporal aspects and ended at the occipital region, around 8-10 times a day)
case_images: IJT-3-34-g003.jpg
case_images: PMC3129123_01_IJT-3-34-g003.jpg
case_images: F3
case_images: We asked the patient to demonstrate his combing technique [Figure 3].
case_images: PMC3129123_02
case_images: Discrete spotty glistening white areas involving the vertex region with broken hairs in case 2
case_images: IJT-3-34-g004.jpg
case_images: PMC3129123_02_IJT-3-34-g004.jpg
case_images: F4
case_images: A 35 year old male patient presented with complaints of "broken hairs with glistening white spots" on the vertex of the scalp noticed for the past 3 months [Figure 4].
case_images: PMC3129123_03
case_images: Spotty white glistening areas localized strictly to the temporal aspect in case 3
case_images: IJT-3-34-g005.jpg
case_images: PMC3129123_03_IJT-3-34-g005.jpg
case_images: F5
case_images: He too reported repeated combing of his hair, often during a day and soon after he got off his motorbike to set the ruffled hairs [Figure 5].