Poliosis

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Poliosis
Vitiligo and Poliosis.jpg
Depigmentation of sections of skin and hair in 48-year-old man with vitiligo and poliosis.
Specialty Dermatology   OOjs UI icon edit-ltr-progressive.svg

Poliosis (also called poliosis circumscripta) is the decrease or absence of melanin (or colour) in head hair, eyebrows, eyelashes, or any other hirsute area. It is popularly known as white forelock when it affects hair directly above the forehead.

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This condition can cause single or, less commonly, multiple white patches on the hair. Some mistake these white patches for simple birth marks. In poliosis there is decreased or absent melanin in the hair bulbs of affected hair follicles; the melanocytes of the skin are usually not affected. [1]

Associated medical conditions

Poliosis occurs in several genetic syndromes such as piebaldism, Waardenburg syndrome, neurofibromatosis type I, and tuberous sclerosis. [2] It can also occur in conditions such as vitiligo, Vogt–Koyanagi–Harada disease, alopecia areata, sarcoidosis, and in association with neoplasms and some medications. [1]

It is sometimes called a Mallen streak, after a fictional family with hereditary poliosis. The Mallen family featured in a sequence of novels by Catherine Cookson, of which The Mallen Streak was the first. She later adapted them into a TV series called The Mallens .[ citation needed ]

During his tenure as the host of Talk Soup , host John Henson repeatedly referred to his own poliosis as a "skunk spot".[ citation needed ]

In DC Comics one of Batman's Robins, Jason Todd, is sometimes portrayed with a white forelock.[ citation needed ]

In Marvel Comics, the X-Men member Rogue has a prominent Mallen streak which is a consistent visual trademark of the character. In her earliest appearances, the character was drawn with a closed-cropped hairdo which had two small white streaks originating above her temples and reaching back over her ears to the back of her head. Over time, she came to be drawn with a larger section of white hair at her forelock, although its size varies greatly from artist to artist. This visual aspect of Rogue's appearance has been consistently portrayed in every adaptation of the character, however, in the 2000 X-Men live action film, Rogue is shown to initially have all brown hair, developing the permanent white streak after being forced to absorb a significant amount of power from Magneto.[ citation needed ]

The characters Percy Jackson and Annabeth Chase each develop a white streak in their hair from the strain of holding up the sky in The Titan's Curse , the third novel in the book series Percy Jackson and the Olympians .[ citation needed ]

Cruella De Vil is thought to have this condition with her half-black/half-white hair.[ citation needed ]

The main character Jio Fleed of the Satan 666 manga series seems to have the condition.[ citation needed ]

During his Christmas special, Jeff Dunham was doing a bit with Achmed the Dead Terrorist and mistakenly combined scoliosis with polio, making poliosis.[ citation needed ]

A Mallen streak is a minor plot point in the 2021 film Don't Breathe 2 .[ citation needed ]

Matt Berry’s character Steven Toast has a Mallen streak.

Guts (Berserk) develops a Mallen streak after donning the Berserker Armor, presumably due to stress.

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<span class="mw-page-title-main">Piebaldism</span> Medical condition

Piebaldism refers to the absence of mature melanin-forming cells (melanocytes) in certain areas of the skin and hair. It is a rare autosomal dominant disorder of melanocyte development. Common characteristics include a congenital white forelock, scattered normal pigmented and hypopigmented macules and a triangular shaped depigmented patch on the forehead. There is nevertheless great variation in the degree and pattern of presentation, even within affected families. In some cases, piebaldism occurs together with severe developmental problems, as in Waardenburg syndrome and Hirschsprung's disease.

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The history of tuberous sclerosis (TSC) research spans less than 200 years. TSC is a rare, multi-system genetic disease that can cause benign tumours to grow on the brain or other vital organs such as the kidneys, heart, eyes, lungs, and skin. A combination of symptoms may include seizures, developmental delay, behavioural problems and skin abnormalities, as well as lung and kidney disease. TSC is caused by mutations on either of two genes, TSC1 and TSC2, which encode for the proteins hamartin and tuberin respectively. These proteins act as tumour growth suppressors and regulate cell proliferation and differentiation. Originally regarded as a rare pathological curiosity, it is now an important focus of research into tumour formation and suppression.

<span class="mw-page-title-main">Nevus depigmentosus</span> Medical condition

Nevus depigmentosus is a loss of pigment in the skin which can be easily differentiated from vitiligo. Although age factor has not much involvement in the nevus depigmentosus but in about 19% of the cases these are noted at birth. Their size may however grow in proportion to growth of the body. The distribution is also fairly stable and are nonprogressive hypopigmented patches. The exact cause of nevus depigmentosus is still not clearly understood. A sporadic defect in the embryonic development has been suggested to be a causative factor. It has been described as "localised albinism", though this is incorrect.

<span class="mw-page-title-main">Waardenburg Syndrome Type 1</span> Congenital disorder

Waardenburg Syndrome Type 1 is a congenital disorder that caused by a mutation in the PAX3 gene that results in abnormal development in the neural crest during early development. Type 1 results in early graying and white forelock and a notable distance between the eyes, noted as dystopia canthorum. Common symptoms of the disease also includes non-progressive hearing loss in majority of patients with Type 1. Patients can display complete or partial heterochromia and hypoplastic blue irides and congenital leukemia.

Waardenburg Syndrome Type 4A is an extremely rare congenital disorder caused by a mutation in an endothelin receptor gene. It results in common Waardenburg syndrome symptoms such as abnormal hair and skin pigmentation and heterochromia, but also present with symptoms of Hirschsprung’s disease. Symptoms include abdominal pain and bowel obstruction. Waardenburg Syndrome Type 4A is the rarest among the types, appearing only once in about every 1,000,000 individuals. There have only been a total of 50 cases reported in total as of 2016.

References

  1. 1 2 Sleiman R, Kurban M, Succaria F, Abbas O (2013). "Poliosis circumscripta: overview and underlying causes". J Am Acad Dermatol. 69 (4): 625–33. doi:10.1016/j.jaad.2013.05.022. PMID   23850259.}
  2. Willacy H. (2010). "Tuberous Sclerosis". PatientPlus. Patient.info. Retrieved May 2, 2011.