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Trichostasis Spinulosa: A Clinical Simulant of Acne Open Comedones

Abstract: Trichostasis spinulosa is a disorder of the pilosebaceous follicles that may simulate acne open comedones. It is a commonly reported cosmetic annoyance in adults but not children. A review of the literature and a case of trichostasis spinulosa in a 13‐year‐old black girl with a history of onset at 18 months of age are presented.