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February 1992

Cutis Verticis Gyrata and Pachydermoperiostosis: Demonstration With Computed Tomography

Author Affiliations

Division of Dermatology; Department of Radiology Hahnemann University Broad and Vine streets Philadelphia, PA 19102

Arch Dermatol. 1992;128(2):276-277. doi:10.1001/archderm.1992.01680120152031

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

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