Spinal dysraphisms are congenital defects of the dorsal midline structures with myriad cutaneous manifestations, including neural tissue involvement at the skin surface. Herein, we describe a man with a meningocele, an open type of spinal dysraphism, presenting as a translucent papule on the posterior midline neck.
A man in his 60s presented for a skin examination, during which a distinctive lesion was incidentally noted on his posterior neck. He reported that it had been present all his life without changes in appearance or symptoms. On 3 occasions, it had drained clear, odorless fluid, with the drainage resolving spontaneously, but he was otherwise asymptomatic. Physical examination revealed a 1-cm, dome-shaped, pedunculated papule arising from a depression on the inferior aspect of his posterior midline neck (Figure 1). The papule was translucent, soft, and compressible, with an overlying vascular surface.
Finch JJ, Kwon CW, Makkar HS. Spinal Dysraphism Presenting as a Translucent Papule in a Man. JAMA Dermatol. 2018;154(4):489–490. doi:10.1001/jamadermatol.2017.6188
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