White piedra is a superficial fungal infection of the hair shaft, caused by
Trichosporon beigelii
. We report two cases of white piedra presenting as brown palpable nodules along the hair shaft with a fragility of scalp hairs.
T. beigelii was demonstrated in hair culture of both the patients and
T. ovoides as a species was confirmed on carbohydrate assimilation test. The first patient responded to oral itraconazole and topical ketoconazole, with a decrease in the palpability of nodules and fragility of scalp hairs at the end of two months.
