White Piedra is characterized by cream colored soft nodules on the hair shaft. White piedra is associated with Trichosporon asahii infection of the pubic hair, mustache, beard and scalp. White piedra is common in topical countries. Trichosporon asahii may lead to trichosporonosis in immunocompromised and neutropenic patient. The mode of transmission may include sharing hair brushes and combs.
White piedra may be detected with white to light brown nodules and septate hyphae on the shaft of the hair while examining the hairs under the direct microscopic examination in a potassium hydroxide preparation.
The treatment of white piedra may focus on maintaining excellent personal hygiene and shaving the affected hair.
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