White piedra: Difference between revisions

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'''White piedra''' is a superficial fungal infection of the hair shaft, caused by the yeast-like fungus ''[[Trichosporon]]''. The infection is characterized by the presence of soft, white-to-tan nodules along the hair shaft. These nodules are easily removable and are composed of yeast cells and arthroconidia that are tightly packed and surrounded by a cement substance.
{{SI}}
 
{{Infobox medical condition
==Etiology==
| name            = White piedra
 
| image          = [[File:Piedra_Blanca_Micosis.jpg|250px]]
White piedra is caused by several species of the genus ''Trichosporon'', including ''[[Trichosporon asahii]]'', ''[[Trichosporon inkin]]'', and ''[[Trichosporon mucoides]]''. These fungi are part of the normal flora of the skin, but can become pathogenic under certain conditions.
| caption        = White piedra affecting hair
 
| field          = [[Dermatology]]
==Epidemiology==
| symptoms        = White or light brown nodules on hair shafts
 
| complications  = Hair breakage
White piedra is a rare infection that can affect individuals of any age, gender, or race. It is more common in tropical and subtropical regions, but can occur in any geographic location. The infection is not contagious and does not spread from person to person.
| onset          = Any age
 
| duration        = Chronic if untreated
==Clinical Presentation==
| causes          = [[Trichosporon]] species
 
| risks          = Poor hygiene, humid environments
The primary symptom of white piedra is the presence of soft, white-to-tan nodules along the hair shaft. These nodules can be easily removed and do not cause any pain or discomfort. In some cases, the affected hair may become brittle and break off easily.
| diagnosis      = Clinical examination, [[microscopy]]
 
| differential    = [[Black piedra]], [[head lice]], [[dandruff]]
==Diagnosis==
| prevention      = Good personal hygiene, avoiding sharing hair care items
 
| treatment      = Shaving affected hair, [[antifungal]] medications
Diagnosis of white piedra is typically made based on the clinical presentation and confirmed by microscopic examination of the nodules. The nodules are composed of yeast cells and arthroconidia that are tightly packed and surrounded by a cement substance.
| medication      = [[Topical antifungal]] agents
 
| frequency      = Rare
==Treatment==
}}
 
{{Short description|A fungal infection affecting hair}}
Treatment for white piedra typically involves the use of antifungal medications, such as [[ketoconazole]] or [[itraconazole]]. In severe cases, or when the infection is resistant to medication, the affected hair may need to be shaved or cut off.
'''White piedra''' is a superficial fungal infection of the hair shaft caused by fungi of the genus ''[[Trichosporon]]''. It is characterized by the presence of soft, white nodules on the hair shafts of the scalp, beard, mustache, and other body hair.
 
== Etiology ==
==Prevention==
White piedra is primarily caused by the yeast-like fungi ''[[Trichosporon ovoides]]'' and ''[[Trichosporon inkin]]''. These fungi are part of the normal flora of the human skin and can become pathogenic under certain conditions.
 
== Clinical Presentation ==
Prevention of white piedra involves maintaining good personal hygiene and avoiding the use of oily hair products that can create a favorable environment for the growth of ''Trichosporon''.
Patients with white piedra typically present with:
 
* White or light-colored nodules on the hair shaft
[[Category:Dermatology]]
* Nodules that are soft and easily detached
[[Category:Infectious diseases]]
* Possible hair breakage
[[Category:Mycology]]
The infection is usually asymptomatic, but some patients may experience mild itching.
{{Medicine-stub}}
== Diagnosis ==
Diagnosis of white piedra is primarily clinical, based on the appearance of the nodules. However, confirmation can be achieved through:
* [[Microscopic examination]] of the hair shaft
* [[Culture (microbiology)|Culture]] of the fungi
== Treatment ==
Treatment options for white piedra include:
* Shaving or cutting the affected hair
* Topical antifungal agents such as [[ketoconazole]] or [[clotrimazole]]
* Oral antifungal medications in severe cases
== Prevention ==
Preventive measures include maintaining good personal hygiene and avoiding sharing personal items such as combs and hats.
== See also ==
* [[Trichosporon]]
* [[Fungal infection]]
* [[Hair diseases]]
[[Category:Fungal diseases]]
[[Category:Hair diseases]]

Latest revision as of 19:41, 8 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics

White piedra
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms White or light brown nodules on hair shafts
Complications Hair breakage
Onset Any age
Duration Chronic if untreated
Types N/A
Causes Trichosporon species
Risks Poor hygiene, humid environments
Diagnosis Clinical examination, microscopy
Differential diagnosis Black piedra, head lice, dandruff
Prevention Good personal hygiene, avoiding sharing hair care items
Treatment Shaving affected hair, antifungal medications
Medication Topical antifungal agents
Prognosis N/A
Frequency Rare
Deaths N/A


A fungal infection affecting hair


White piedra is a superficial fungal infection of the hair shaft caused by fungi of the genus Trichosporon. It is characterized by the presence of soft, white nodules on the hair shafts of the scalp, beard, mustache, and other body hair.

Etiology[edit]

White piedra is primarily caused by the yeast-like fungi Trichosporon ovoides and Trichosporon inkin. These fungi are part of the normal flora of the human skin and can become pathogenic under certain conditions.

Clinical Presentation[edit]

Patients with white piedra typically present with:

  • White or light-colored nodules on the hair shaft
  • Nodules that are soft and easily detached
  • Possible hair breakage

The infection is usually asymptomatic, but some patients may experience mild itching.

Diagnosis[edit]

Diagnosis of white piedra is primarily clinical, based on the appearance of the nodules. However, confirmation can be achieved through:

Treatment[edit]

Treatment options for white piedra include:

  • Shaving or cutting the affected hair
  • Topical antifungal agents such as ketoconazole or clotrimazole
  • Oral antifungal medications in severe cases

Prevention[edit]

Preventive measures include maintaining good personal hygiene and avoiding sharing personal items such as combs and hats.

See also[edit]