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Images in clinical practice
Trichofolliculoma presenting in a deployed French soldier: fuzz that keeps you warm
  1. Nicolas Cazes1,
  2. G Comat2,
  3. É Romary1 and
  4. A Valois3
  1. 1 Emergency Medical Service, Bataillon de Marins-Pompiers de Marseille, Marseille, France
  2. 2 Antenne Médicale de Calvi, Centre Médical des Armées de Marseille, Calvi, France
  3. 3 Service de Dermatologie, Hôpital d"instruction des Armées Sainte Anne, Toulon, France
  1. Correspondence to Nicolas Cazes, Emergency medical service, Bataillon de marins-pompiers de Marseille, Marseille 13233 CEDEX 20, France; md.ncazes{at}gmail.com

https://doi.org/10.1136/jramc-2019-001368

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    A 20-year-old soldier, without antecedent or treatment, consults in role 1 of Gao (Mali) following the appearance of a tuft of white hair, described by his brothers-in-arms as ‘goose feathers’, on his upper back. Hair extraction at the beginning of the mission was followed by identical regrowth within 3 weeks. The lesion was painless. On clinical examination, a cluster of fine fluffy white hairs from a single central depression within a papule, approximatively 5 mm in diameter, was found (Figure 1). There was no notion of wound or trauma in recent weeks at this level. The lesion was clinically …

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    Footnotes

    • Collaborators We especially want to thank Dr Anaïs Briquet (pulmonology department, Hôpital d’Instruction des Armées Laveran, Marseille) for availability and help in the management of this remote case, allowing us to find a dermatology correspondent on a holiday at a late hour.

    • Contributors GC is the doctor who saw the patient first in Mali during a consultation (extraction of hair made before consulting), asking him to consult again if it reoffended. NC saw the patient at 3 weeks (GC had gone into operations) and took the photos to ask for a dermatological opinion (telemedicine). AV made a teleconsultation from Toulon in France in order to do the diagnosis. ER saw the patient on his return in France from his mission and sent it secondarily to AV for final opinion. NC and GC wrote the case. ER and AV read back and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval We have obtained permission from the patient to publish his case and to include the image in this article.

    • Provenance and peer review Not commissioned; internally peer reviewed.