Imagine a parasitic black hair snaking it is way through the deep layers of your skin to form a long black trail that is visually discernable. The long ingrown hair is common in Asian men such as Koreans, Chinese, Vietnamese, Okinawan, Filipino, Hmong, Indonesian, Cambodian, Laotian, Malaysian, Taiwanese, Tibetan, and Japanese. They have also noted it in those of Mongolian descent and from India. The massive hairs can span three or four centimeters through the superficial layers. Known ascutaneous pili migrans (CPM), the thread-like eruption bears a striking similarity to cutaneous larva migrans, which is a nematode that belongs to the hookworm family (Ancylostomatidae).
The worm Ancylostoma braziliense follows the same path as the giant black hair and might be mistaken for the biggest hair, but in actuality, it is a living tropical parasite. Only upon complete extraction, can the surgeon diagnose it as the biggest hair or a larva the hookworm.
Diagnosing the Long Ingrown Hair
If you have chronic ingrown hairs, then you are at risk for CPM. The Asian males who display the worst symptoms and the longest hair growth have a habit of plucking all of their beard hair. Most males of the Orient can rarely grow a full beard but only sporadic hairs they regularly pull out.
The burrowing hair is rarely a complete hair, but only a shaft that threads its way along a particular migration route, perhaps that of least resistance. The high tensile strength of East Asia hair appears to provide the shaft with enough force to plow through unhindered. The deformity often arises because of a follicular problem or infection. Unlike the typical ingrown hair that plunges down, the CPM hair grows outward.
Suffering Chronic Ingrown Hairs
Those who have a creeping hair suffer as an ongoing problem. The chronic ingrown hairs continue to reoccur. Most physicians tag the condition, ‘ingrowing hair’. As the hair twines its way through your epidermis, the trail becomes a sensitive highway that shows a sporadic swollen response to the unwanted intrusion.
Coping With a Bad Ingrown Hair
The site of the ingrown hair can be asymptomatic or painful and itchy. The pruritic (itchy) eruption can drive the sufferer crazy as each twitch of the hair tickles the skin’s nerves. The bad ingrown hair grows in a linear line. It is not in the least bit unorganized. It is not uncommon for there to be a faint black line even after the hair’s removal. In time the discoloration fades.
Treating a Huge Ingrown Hair
If you are wondering how to remove the threadlike hair, please continue reading. A physician will try to find a natural break in the epidermis. Then using the entrance, he will extract the hair by gently pulling out the hole. As mentioned, the strength of the huge ingrown hair is impressive. It can withstand a great deal of tugging without breaking or tearing apart. When exploring how to treat the unusual condition, a dermatologist usually takes the route of least resistance.
Coping With Ingrown Hair Pus
The symptoms of the condition are usually very slight pain and sensitivity. The patient often reports they can feel the hair move, especially if on the foot or hand. If the region shows signs of infection, then they might prescribe antibiotics. They attribute CPM to a genetic propensity. The condition is chronic. Additional problems include edematous erythema around and folliculitis.
Migrating Hairs on Sole of Feet
The tips of hair can be sharp. On rare occasions, people have reported walking across cut hair, such as at a salon, either barefoot or with socks and within weeks show the signs of migrating hairs on the soles of the feet. In such circumstances, the hair is a foreign body just like a wood splinter, that has penetrated the surface and worked its way through the layers. The site becomes infected with extreme pus production as the body works overtime to eject the invader.
Traveling Hair Locations
Creeping or traveling hairs often occur on friction areas. They hypothesize that the hair emerges and then dives down to penetrate the skin’s surface and work its way across the skin in a lateral fashion.
The constant rubbing pushes the hair back into the skin. Common location sites include the ankle, cheek, breast, neck, sole, toe, jaw, and abdomen.
Babies and Ingrown Hairs
They have noted babies display the anomaly on the skull from the constant postural laying position in a crib. The hair can be the infant’s own, or sometimes be transferred from the parents while holding the baby. The baby rubs against the dad’s chest hair or the mom’s armpit hair and it might come loose to penetrate the delicate tissue of the infant. However, the baby’s own hair can also do a bend or u-turn and self-penetrate the soft and fragile skin.
If a hair appears to be creeping across the interior of the skin’s layers then a physician must determine if the hair is the person’s own or if it is a foreign body. Either way, they must extract it to prompt a complete, clear up. A topical mupirocin ointment is used to treat and prevent infection. A dermatologist will spend their entire career and never encounter CPM so when they do see the oddity the intriguing patient becomes a casebook study.
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