Other Names for this Disease
- Twisted hair
- Coarse, dry, lusterless hair which breaks off easily
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In acquired pili torti, treatment involves stopping the exposure to the causative agent (e.g., to oral retinoids) or condition (e.g., improving diet). There is no specific treatment for the inherited form of pili torti. It may improve spontaneously after puberty. If pili torti is detected, further evaluation to investigate possible neurological disorders, problems with hair, teeth or nails (ectodermal disturbances) and hearing loss is mandatory. It is generally recommended that people with pili torti try to avoid trauma to the hair. Suggestions include, sleeping on a satin pillowcase, avoiding excessive grooming, braiding, heat treatments, dying and coloring, reducing exposure to sunlight (wear a hat), using gentle shampoos diluted in warm water, adding conditioner to freshly washed hair, avoiding use of a hair dryer (or using it on cool setting), and avoiding oral retinoids (e.g., isotretinoin, acitretin) if possible. Some individuals with pili torti choose to wear a wig.
Last updated: 12/28/2015
- Defects of the hair shaft. DermNet NZ. 2010; http://www.dermnetnz.org/hair-nails-sweat/hair-shaft-defects.html. Accessed 2/23/2011.
- Yang JJH, Cade KV, Rezende FC, Pereira JM & Pegas JRP. Clinical presentation of pili torti - Case report. An Bras Dermatol. 2015; 90(3) Suppl 1:S29-31.. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540501/#r01. Accessed 12/28/2015.
- Gelles LN. Picture of the month. Pili torti. Arch Pediatr Adolesc Med. 1999 Jun; http://archpedi.ama-assn.org/cgi/content/full/153/6/647. Accessed 2/23/2011.
- The Centers for Mendelian Genomics program is working to discover the causes of rare genetic disorders. For more information about applying to the research study, please visit their website.