Monilethrix is a Greco-Latin term that mean “hair stick”1. It is a rare genetic disorder with autosomal dominant inheritance, characterized by degeneration of the hair matrix and formation of defective cuticle. The hairs are brittle and not exceed a few inches length. The scalp is the most affected region and the most common clinical presentation is alopecia associated with keratosis follicularis2,3. The diagnosis is clinical and the tricoscopia evidence moniliformes changes (switching between wide and narrow band)