To the Editor.—
Cutis verticis gyrata (CVG) is characterized by convoluted folds and furrows of the scalp, most frequently involving the vertex. Hair is sometimes sparse in the areas of the folds; however, in other cases the growth of hair is unaffected and the furrowing may be subtle and difficult to detect clinically. We describe a patient with clinically subtle cutis verticis gyrata that was readily demonstrated as an incidental finding on a computed tomographic scan.
Report of a Case.—
A 35-year-old white man had a 1-year history of tender longitudinal scalp skin thickening at the vertex with anterior progression. He also complained of headaches, toothaches, pain in the right jaw, and pain in the right foot unrelieved by orthotics. He also complained of excessive sweating of the palms and soles. There was no family history of scalp or skeletal abnormalities. On physical examination, there were slightly palpable, 1- to
DePadova-Elder SM, Ditre CM, Kantor GR, Elder JP. Cutis Verticis Gyrata and Pachydermoperiostosis: Demonstration With Computed Tomography. Arch Dermatol. 1992;128(2):276-277. doi:10.1001/archderm.1992.01680120152031