Indian Journal of Dermatology
: 2011  |  Volume : 56  |  Issue : 2  |  Page : 228--229

Mudi-chood: On the forearm

P Sugathan, Abhay Mani Martin 
 Division of Dermatology, Baby Memorial Hospital, Indira Gandhi Road, Calicut - 673 004, India

Correspondence Address:
P Sugathan
Division of Dermatology, Baby Memorial Hospital, Indira Gandhi Road, Calicut - 673 004


Mudi-Chood is a strange dermatosis affecting the nape of the neck and upper back of young women in Kerala State of south India. It was first described by us in 1972. Here we report one more such case recently seen by us.

How to cite this article:
Sugathan P, Martin AM. Mudi-chood: On the forearm.Indian J Dermatol 2011;56:228-229

How to cite this URL:
Sugathan P, Martin AM. Mudi-chood: On the forearm. Indian J Dermatol [serial online] 2011 [cited 2020 Dec 5 ];56:228-229
Available from:

Full Text


Mudi-Chood is a peculiar dermatosis affecting the nape of the neck and upper back of young women in Kerala State, South India, and was first described by Sugathan and Nair. [1] It was presumed to be due to a nonspecific follicular reaction to the wet oily hair in a hot and humid environment due to the friction between the hair and the skin. It was reported on the pinna by Sugathan. [2] The first case of Mudi-Chood in a male patient, who had long hair, was reported by Pillai and Paily. [3] The only case report of Mudi-Chood in a woman from outside Kerala sate was from Pune by Gharpure. [4] Recently, I came across Mudi-Chood on an unusual and unlikely location and this is a report of the same.

 Case Report

Ms. MT was a 32-year-old staff nurse working in a hospital in the Middle East for the past 2 years. She was on "night shift" frequently and hence used to wash her hair daily in the mornings. She had discreet dark papular lesions on the nape of the neck and upper back for nearly 2 years, but did nothing about it. Of late, she noticed similar papular lesions on the left cubital fossa and upper part of the left forearm. For this complaint, she consulted Prof. K. Pavithran, a former Professor of Dermatology and Venereology of the Calicut Medical College, who recognized the illness and graciously referred her to me [Figure 1].{Figure 1}

On examination, she was a dark, young woman of short stature, with a tendency to obesity. She had long coarse hairs on the scalp that reached her hip. Observation of similar papules on her left cubital fossa and anterior aspect of her upper part of the forearm was indeed surprising [Figure 2]. On further questioning, she admitted to the fact that she was washing her in the morning and would lie down under the fan with the head supported on the folded elbow of her left hand. Often, she used go to sleep in this position. The observation of small, dark, mildly pruritic papules on the cubital fossa and upper third of the anterior aspect of her left forearm was worrying and hence she came for advice from a dermatologist.{Figure 2}


As she already had typical Mudi-Chood lesions on the back of her neck, it was easy to make a diagnosis of Mudi-Chood on the forearm. She had long, rather coarse hair, but did not suffer from piedra or pediculosis. She was advised to apply 3% salicylic acid ointment on both sites and was promptly relieved of her problem. The coarse hair, the posture in which the patient slept, and her bathing habit contributed to this unusual location.


1Sugathan P, Nair MB. Mudichood: A new dermatological entity. In: Marshall J, editor. Essays on Tropical Dermatology Vol. 2 nd . Amsterdam: Excerpta Medica; 1972. p. 183-8.
2Sugathan P. Mudichood on the Pinnae. Br J Dermatol 1976;95:197.
3Pillai KG, Paily PP, Naik PV. Mudichood in a male: Case Report. Indian J Dermatol Venereol Lepr 1981;47:50-2.
4Gharpuray MB, Vinay K, Tolat S. Mudi-chood: An unusual tropical dermatosis. Int J Dermatol 2007;31:396-7.