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Honor Society of Nursing (STTI) answeredPili torti is a rare condition in which the hair shaft grows irregularly. It causes the hair to twist in an unusual 180-degree pattern. This causes flattening at various points along the shaft, causing the hair to break off easily. Pili torti is established in a number of rare genetic syndromes or diseases, such as Björnstad syndrome, Crandall syndrome, Bazex syndrome and Menkes kinky-hair disease. It can also be caused by anorexia, malnutrition, and other non-inherited conditions.