Imran Shoukat, Shahab Ghani, Moiz Sadiq, Yasmeena Khan.
Cutis Verticis Gyrata - A rare presentation.
J Pak Assoc Derma Jan ;10(2):48-50.

A 28 year old male, presented with multiple scalp folds in the outpatient. He was a worker by profession, was of normal intelligence and had no family history of similar problem. The patient first noticed a swelling in the occipital region 3 years back, which was painless and had gradually grown to a skin fold. The number of folds had gradually increased over the next two and a half years and had stopped growing since the past six months. These scalp folds were painless and non-tender and there were no associated symptoms or comorbids. Examination showed normal hair with scalp ridges and furrows being in the anteroposterior direction superiorly and transverse over the occipital area. Palpation of the underlying skull was normal and there was no adherence of the scalp tissue to underlying bone. Examination of hands and lower limbs was normal and neurological examination was unremarkable. Initial histological examination of a incision biopsy specimen showed skin with prominent pilosebaceous units showing focal mild to moderate periadenaxal non-specific inflammation. Subcutaneous fat was unremarkable and no tumour was seen. A surgical scalp reduction with primary closure of scalp was carried out.

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