Cutis Verticis Gyrata as a Marker of Internal Malignancy

To the Editor.—  Cutis verticis gyrata (CVG) occurs as either a primary or a secondary condition.¹ Primary forms may be congenital or acquired,² and may or may not be associated with other abnormalities. Secondary forms may be related to local inflammatory change or tumors. Other than the complex case associated with apudoma reported by Moulias et al,³ this condition has not been reported as a manifestation of internal malignancy. We describe a patient in whom we think CVG was a marker of internal malignancy, and who meets the criteria established by McLean⁴ for paraneoplasms.

Report of a Case.—  A 56-year-old patient was referred to us in November 1985 complaining of gradually increasing lumpiness of the scalp for one year. Other than being a diabetic who was controlled by oral medication, she was in good health without a significant history. Her family history was noncontributory.On examination, there