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Abstract

Pathologies that affect the scalp, and hence scalp hair, frequently result in serious impacts on the quality of life. In this chapter we present the potential of ultrasound in the evaluation of diseases of the scalp and hair. Technical considerations, the normal anatomy, and a wide spectrum of scalp conditions are discussed.

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References

  1. Miyakoshi K, Tanaka M, Matsumoto T, Hattori Y, Minegishi K, Ishimoto H, et al. Occipital scalp hemangioma: prenatal sonographic and magnetic resonance images. J Obstet Gynaecol Res. 2008;34:666–9.

    Article  PubMed  Google Scholar 

  2. Wolfram LJ. Human hair: a unique physicochemical composite. J Am Acad Dermatol. 2003;48:S106–14.

    Article  PubMed  Google Scholar 

  3. Thibaut S, De Becker E, Caisey L, Baras D, Karatas S, Jammayrac O, et al. Human eyelash characterization. Br J Dermatol. 2010;162:304–10.

    Article  PubMed  CAS  Google Scholar 

  4. Wortsman X, Wortsman J, Matsuoka L, Saavedra T, Mardones F, Saavedra D, et al. Sonography in pathologies of scalp and hair. Br J Radiol. 2012;85(1013):647–55.

    Article  PubMed  CAS  Google Scholar 

  5. Wortsman X, Wortsman J. Clinical usefulness of variable-frequency ultrasound in localized lesions of the skin. J Am Acad Dermatol. 2010;62(2):247–56.

    Article  PubMed  Google Scholar 

  6. Seery GE. Surgical anatomy of the scalp. Dermatol Surg. 2002;28:581–7.

    Article  PubMed  Google Scholar 

  7. Al-Nuaimi Y, Baier G, Watson RE, Chuong CM, Paus R. The cycling hair follicle as an ideal systems biology research model. Exp Dermatol. 2010;19:707–13.

    Article  PubMed  Google Scholar 

  8. Yagyu K, Hayashi K, Chang SC. Orientation of multi-hair follicles in nonbald men: perpendicular versus parallel. Dermatol Surg. 2006;32:651–60.

    Article  PubMed  CAS  Google Scholar 

  9. Mattle E, Weiger M, Schmidig D, Boesiger P, Fey M. MRI of human hair. MAGMA. 2009;22:181–6.

    Article  PubMed  Google Scholar 

  10. Wortsman X, Wortsman J, Soto R, et al. Benign tumors and pseudotumors of the nail: a novel application of sonography. J Ultrasound Med. 2010;29:803–16.

    PubMed  Google Scholar 

  11. Sau P, Graham JH, Helwig EB, Sau P, Graham JH, Helwig EB. Proliferating epithelial cysts. Clinicopathological analysis of 96 cases. J Cutan Pathol. 1995;22:394–406.

    Article  PubMed  CAS  Google Scholar 

  12. Satyaprakash AK, Sheehan DJ, Sangüeza OP. Proliferating trichilemmal tumors: a review of the literature. Dermatol Surg. 2007;33:1102–8.

    Article  PubMed  CAS  Google Scholar 

  13. Anolik R, Firoz B, Walters RF, Meehan SA, Tsou HC, Whitlow M, et al. Proliferating trichilemmal cyst with focal calcification. Dermatol Online J. 2008;14:25.

    PubMed  Google Scholar 

  14. Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001;125:510–5.

    PubMed  CAS  Google Scholar 

  15. Roche NA, Monstrey SJ, Matton GE. Pilomatricoma in children: common but often misdiagnosed. Acta Chir Belg. 2010;110:250–4.

    PubMed  CAS  Google Scholar 

  16. Cecen E, Ozguven AA, Uysal KM, Gunes D, Ozer E, Olgun N, et al. Pilomatricoma in children: a frequently misdiagnosed superficial tumor. Pediatr Hematol Oncol. 2008;25:522–7.

    Article  PubMed  Google Scholar 

  17. Choo HJ, Lee SJ, Lee YH, Lee JH, Oh M, Kim MH, et al. Pilomatricomas: the diagnostic value of ultrasound. Skeletal Radiol. 2010;39:243–50.

    Article  PubMed  Google Scholar 

  18. Hwang JY, Lee SW, Lee SM. The common ultrasonographic ­features of pilomatricoma. J Ultrasound Med. 2005;24:1397–402.

    PubMed  Google Scholar 

  19. Peer S. The place of sonography in the diagnostic work-up of haemangiomas and vascular malformations. Handchir Mikrochir Plast Chir. 2009;41:70–7.

    Article  PubMed  CAS  Google Scholar 

  20. Giovagnorio F, Andreoli C, De Cicco ML. Color Doppler sonography of focal lesions of the skin and subcutaneous tissue. J Ultrasound Med. 1999;18:89–93.

    PubMed  CAS  Google Scholar 

  21. Wortsman X. Common applications of dermatologic sonography. J Ultrasound Med. 2012;31(1):97–111.

    PubMed  Google Scholar 

  22. Verity DH, Rose GE, Restori M. The effect of intralesional steroid injections on the volume and blood flow in periocular capillary haemangiomas. Orbit. 2008;27:41–7.

    Article  PubMed  Google Scholar 

  23. Sans V, de la Roque ED, Berge J, et al. Propranolol for severe infantile hemangiomas: follow-up report. Pediatrics. 2009;124:423–31.

    Article  Google Scholar 

  24. Al-Zaid T, Vanderweil S, Zembowicz A, Lyle S. Sebaceous gland loss and inflammation in scarring alopecia: a potential role in pathogenesis. J Am Acad Dermatol. 2011;65(3):597–603.

    Article  PubMed  Google Scholar 

  25. Stefanato CM. Histopathology of alopecia: a clinicopathological approach to diagnosis. Histopathology. 2010;56:24–38.

    Article  PubMed  Google Scholar 

  26. Verma SB, Wollina U. Acne keloidalis nuchae: another cutaneous symptom of metabolic syndrome, truncal obesity, and impending/overt diabetes mellitus? Am J Clin Dermatol. 2010;11(6):433–6.

    Article  PubMed  Google Scholar 

  27. Sterling JB, Sina B, Gaspari A, Deng A. Acne keloidalis: a novel presentation for tinea capitis. J Am Acad Dermatol. 2007;56:699–701.

    Article  PubMed  Google Scholar 

  28. Bajaj V, Langtry JA. Surgical excision of acne keloidalis nuchae with secondary intention healing. Clin Exp Dermatol. 2008;33:53–5.

    PubMed  CAS  Google Scholar 

  29. Gloster Jr HM. The surgical management of extensive cases of acne keloidalis nuchae. Arch Dermatol. 2000;136:1376–9.

    Article  PubMed  Google Scholar 

  30. Brănişteanu DE, Molodoi A, Ciobanu D, et al. The importance of histopathologic aspects in the diagnosis of dissecting cellulitis of the scalp. Rom J Morphol Embryol. 2009;50:719–24.

    PubMed  Google Scholar 

  31. Mihić LL, Tomas D, Situm M, Krolo I, Sebetić K, Sjerobabski-Masnec I, et al. Perifolliculitis capitis abscedens et suffodiens in a Caucasian: diagnostic and therapeutic challenge. Acta Dermatovenerol Croat. 2011;19(2):98–102.

    PubMed  Google Scholar 

  32. Ljubojevic S, Pasic A, Lipozencic J, Skerlev M. Perifolliculitis capitis abscedens et suffodiens. J Eur Acad Dermatol Venereol. 2005;19:719–21.

    Article  PubMed  CAS  Google Scholar 

  33. Williams CN, Cohen M, Ronan SG, Lewandowski CA. Dissecting cellulitis of the scalp. Plast Reconstr Surg. 1986;77:378–82.

    Article  PubMed  CAS  Google Scholar 

  34. Castaño-Suárez E, Romero-Maté A, Arias-Palomo D, Borbujo J. Photodynamic therapy for the treatment of folliculitis decalvans. Photodermatol Photoimmunol Photomed. 2012;28(2):102–4.

    Article  PubMed  Google Scholar 

  35. Otberg N, Kang H, Alzolibani AA, Shapiro J. Folliculitis decalvans. Dermatol Ther. 2008;21:238–44.

    Article  PubMed  Google Scholar 

  36. Gemmeke A, Wollina U. Folliculitis decalvans of the scalp: response to triple therapy with isotretinoin, clindamycin, and prednisolone. Acta Dermatovenerol Alp Panonica Adriat. 2006;15:184–6.

    PubMed  Google Scholar 

  37. Chiarini C, Torchia D, Bianchi B, Volpi W, Caproni M, Fabbri P. Immunopathogenesis of folliculitis decalvans: clues in early lesions. Am J Clin Pathol. 2008;130:526–34.

    Article  PubMed  CAS  Google Scholar 

  38. Nnebe NV, Woon C, Haines S, Dayton V, Weigel BJ. Cutaneous pseudolymphoma: an unusual presentation of a scalp mass. Pediatr Blood Cancer. 2009;52(2):283–5.

    Article  PubMed  Google Scholar 

  39. Bergman R. Pseudolymphoma and cutaneous lymphoma: facts and controversies. Clin Dermatol. 2010;28:568–74.

    Article  PubMed  Google Scholar 

  40. Bachelez H. The uncertain status of cutaneous pseudolymphoma. Actas Dermosifiliogr. 2009;100:33–7.

    Article  PubMed  Google Scholar 

  41. Cerroni L, Borroni RG, Massone C, Chott A, Kerl H. Cutaneous B-cell pseudolymphoma at the site of vaccination. Am J Dermatopathol. 2007;29:538–42.

    Article  PubMed  Google Scholar 

  42. Gutermuth J, Hein R, Fend F, Ring J, Jakob T. Cutaneous pseudolymphoma arising after tattoo placement. J Eur Acad Dermatol Venereol. 2007;21:566–7.

    PubMed  CAS  Google Scholar 

  43. Colli C, Leinweber B, Müllegger R, Chott A, Kerl H, Cerroni L. Borrelia burgdorferi-associated lymphocytoma cutis: clinicopathologic, immunophenotypic, and molecular study of 106 cases. J Cutan Pathol. 2004;31:232–40.

    Article  PubMed  Google Scholar 

  44. Ploysangam T, Breneman DL, Mutasim DF. Cutaneous pseudolymphomas. J Am Acad Dermatol. 1998;38:877–95.

    Article  PubMed  CAS  Google Scholar 

  45. Greco M, Vitagliano T, Fiorillo MA, Atzeni M, Corona A, Ribuffo D. Rare malignant tumors of the scalp: a report of four cases, their treatment and a review of the literature. Eur Rev Med Pharmacol Sci. 2010;14(11):993–7.

    PubMed  CAS  Google Scholar 

  46. Lang Jr PG, Braun MA, Kwatra R. Aggressive squamous carcinomas of the scalp. Dermatol Surg. 2006;32:1163–70.

    Article  PubMed  CAS  Google Scholar 

  47. Katz TM, Silapunt S, Goldberg LH, Jih MH, Kimyai-Asadi A. Analysis of 197 female scalp tumors treated with mohs micrographic surgery. J Am Acad Dermatol. 2005;52:291–4.

    Article  PubMed  Google Scholar 

  48. Neubauer KE, Goldstein GD, Plumb SJ. Squamous cell carcinoma of the scalp in organ transplant recipients: exploring mechanisms for recurrence and treatment guidelines. Dermatol Surg. 2010;36:185–93.

    Article  PubMed  CAS  Google Scholar 

  49. Leibovitch I, Huilgol SC, Richards S, Paver R, Selva D. Scalp tumors treated with mohs micrographic surgery: clinical features and surgical outcome. Dermatol Surg. 2006;32:1369–74.

    Article  PubMed  CAS  Google Scholar 

  50. Bobadilla F, Wortsman X, Muñoz C, Segovia L, Espinoza M, Jemec GBE. Pre-surgical high resolution ultrasound of facial basal cell carcinoma: correlation with histology. Cancer Imaging. 2008;22:163–72.

    Article  Google Scholar 

  51. Uhara H, Hayashi K, Koga H, Saida T. Multiple hypersonographic spots in basal cell carcinoma. Dermatol Surg. 2007;33:1215–9.

    Article  PubMed  CAS  Google Scholar 

  52. Muniesa C, Estrach T, Pujol RM, Gallardo F, Garcia-Muret P, Climent J, Servitje O. Folliculotropic mycosis fungoides: clinicopathological features and outcome in a series of 20 cases. J Am Acad Dermatol. 2010;62:418–26.

    Google Scholar 

  53. Nashan D, Faulhaber D, Ständer S, Luger TA, Stadler R. Mycosis fungoides: a dermatological masquerader. Br J Dermatol. 2007;156:1–10.

    Article  PubMed  CAS  Google Scholar 

  54. Iorizzo M, El Shabrawi Caelen L, Vincenzi C, Misciali C, Tosti A. Folliculotropic mycosis fungoides masquerading as alopecia areata. J Am Acad Dermatol. 2010;63:50–2.

    Article  Google Scholar 

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Correspondence to Ximena Wortsman MD .

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Wortsman, X., Wortsman, J. (2013). Sonography of the Scalp and Hair. In: Wortsman, X. (eds) Dermatologic Ultrasound with Clinical and Histologic Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7184-4_19

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  • DOI: https://doi.org/10.1007/978-1-4614-7184-4_19

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