sir.—In the article by Felding and Feingold,1 published in the March 1988 issue of AJDC, the last sentence seems to imply that there are no chormosomal abnormalities observed in cases of cutis verticis gyrata (CVG). We recently treated a patient with Turner's syndrome (karyotype: 45,X) who exhibited such an anomaly.
Patient Report.—The patient was born of two drug-addicted parents and had a birth weight of 2350 g (less than the third percentile), a length of 45 cm (less then the third percentile), Apgar scores of 7 and 8 at 1 and 5 minutes, respectively, and congenital lymphedema. When we saw her at 2½ years of age, her height was 80.7 cm (—2 SDs), she weighed 10.6 kg (third percentile), and her head circumference was 47 cm (tenth percentile). The patient had low-set, posteriorly angulated ears, downward-slanted palpebral fissures, epicanthal folds, a short webbed neck, a low