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Hair casts are harmless but can be mistaken for head lice.

A woman's scalp nodules were successfully treated with antifungal and anti-lice medications, revealing a rare case of mixed piedra infection.

Hair casts may be caused by repetitive hair pulling or styling and are often misdiagnosed.

It's important to tell the difference between hair casts, pseudocasts, and nits.

Hair casts can be mistaken for lice, so correct identification is important.