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 © 2001-2009, DermAtlas | Image Name: | scalp_anomaly_1_050122 | File Type: | jpg | |
| Diagnosis: | MALFORMATION, CONGENITAL / SPINAL DYSRAPHISM | Category: | congenital malformation / hair disorders | ||
| Body Site: | scalp | Age: | 1 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 3 mm scalp dimple with dark tuft of hair | ||||
| Comments: | This healthy infant was noted to have a small dimple with a tuft of dark hair on the left parietal scalp at birth. An imaging study was scheduled to exclude a communication with the central nervous system. | ||||
| Related Images: | scalp_anomaly_2_050122 | ||||
 © 2001-2009, DermAtlas | Image Name: | scalp_anomaly_2_050122 | File Type: | jpg | |
| Diagnosis: | MALFORMATION, CONGENITAL / SPINAL DYSRAPHISM | Category: | congenital malformation / hair disorders | ||
| Body Site: | scalp | Age: | 1 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 3 mm scalp dimple with dark tuft of hair | ||||
| Comments: | This healthy infant was noted to have a small dimple with a tuft of dark hair on the left parietal scalp at birth. An imaging study was scheduled to exclude a communication with the central nervous system. | ||||
| Related Images: | scalp_anomaly_1_050122 | ||||
 © 2001-2009, DermAtlas | Image Name: | nevus_spinal_dysraphism_1_050114 | File Type: | jpg | |
| Diagnosis: | NEVUS, PIGMENTED / NEVUS, PIGMENTED, CONGENITAL / SPINAL DYSRAPHISM | Category: | cutaneous sign of systemic disease / neonatal dermatology / congenital malformation / hyperpigmentation | ||
| Body Site: | back | Age: | 19 months | ||
| Contributor: | Paul Honig, MD | ||||
| Description: | 6 cm round brown plaque with prominent hair and a 5 mm dark brown central papule; midline well healed scar | ||||
| Comments: | An asymptomatic brown atrophic plaque was present at birth on the back of this toddler. The development of paraspinal muscle atrophy prompted a spine magnetic resonance imaging study which revealed an intraspinal lipoma extending from L5 to the termination of the thecal sac at S2. The lipoma was successfully removed following increasing concern that the lesion was a focus of spinal cord tethering. A number of congenital lesions may be associated with spinal dysraphism or incomplete closure of the spinal canal. Although these defects are usually located in the lumbosacral area, lesions anywhere along the midline of the back should be suspect. Cutaneous markers which are associated with a high index of suspicion include hypertrichosis, large dimples, skin tags, lipomas, hemangiomas, scars, and dermal cysts or sinus tracts. Although congenital pigmented nevi are considered to be lesions of low risk, midline pigmented nevi of any size may also be associated with spinal anomalies. During the first 6 months of life ultrasound is a quick, inexpensive, reliable, non-invasive technique for screening these infants and can usually be performed before the baby leaves the newborn nursery. | ||||
 © 2001-2009, DermAtlas | Image Name: | malformation_1_031014 | File Type: | jpg | |
| Diagnosis: | SPINAL DYSRAPHISM / DIMPLE, CONGENITAL / MALFORMATION, CONGENITAL | Category: | congenital malformation | ||
| Body Site: | trunk / back | Age: | 4 years | ||
| Contributor: | Kosman Sadek Zikry, MD | ||||
| Description: | deep sacral dimple | ||||
| Comments: | This 4-year-old boy with a deep sacral dimple had a delay in walking and urinary and fecal incontinence. Radiographic studies of the lumbosacral spine revealed a malformation of the spinal cord. | ||||
 © 2001-2009, DermAtlas | Image Name: | spinaldysraphism_1_030401 | File Type: | jpg | |
| Diagnosis: | SPINAL DYSRAPHISM / HEMANGIOMA / VASCULAR MALFORMATION / LIPOMA | Category: | congenital malformation / vascular malformation / neonatal dermatology | ||
| Body Site: | sacrum (tail bone) / back | Age: | 3 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | violaceous button-like papule overlying a soft spongy midline mass | ||||
| Comments: | This 3-month-old girl had a congenital purple nodule overlying a soft spongy mass that on ultrasound had the typical features of a lipoma. Further studies were planned to confirm normal bony and soft tissue cord structures. | ||||
 © 2001-2009, DermAtlas | Image Name: | sacralhemangioma_1_010727 | File Type: | jpg | |
| Diagnosis: | HEMANGIOMA / SPINAL DYSRAPHISM | Category: | lumps & bumps (plaques, nodules, tumors) / neonatal dermatology | ||
| Body Site: | buttock / sacrum (tail bone) | Age: | 6 weeks | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 2.5 cm reddish purple nodule with a central crust | ||||
| Comments: | Shortly after birth a reddish purple nodule developed on the sacrum of a healthy infant. After a month of rapid growth, the lesion stabilized and a central crusted ulcer appeared. The ulcer healed with gentle tap water compresses and topical antibiotics. Ultrasound of the lumbosacral spine demonstrated normal structures. | ||||
 © 2001-2009, DermAtlas | Image Name: | hemangioma_2_010327 | File Type: | jpg | |
| Diagnosis: | HEMANGIOMA / SPINAL DYSRAPHISM | Category: | neonatal dermatology / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | diaper area / perianal perineum / genital sacrum (tail bone) | Age: | 3 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | red plaque with some erosions | ||||
| Comments: | An extensive perianal hemangioma began to ulcerate in the gluteal cleft. Local care with barrier creams and topical antibiotics resulted in healing of the painful ulceration. An ultrasound of the lumbosacral spine to exclude spinal dysraphism was normal. | ||||
 © 2001-2009, DermAtlas | Image Name: | sacralhemangioma_1_010324 | File Type: | jpg | |
| Diagnosis: | HEMANGIOMA / SPINAL DYSRAPHISM | Category: | neonatal dermatology / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | sacrum (tail bone) / diaper area buttock / vulva (labia) | Age: | 7 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | red to purple papules, plaques and telangiectasias, surgical scar | ||||
| Comments: | Shortly after birth a hemangioma developed on the lumbosacral area. Several weeks later plaques appeared in the genital area. Ultrasound revealed a tethered cord that was repaired at 4 months of age. The hemangioma was regressing at 7 months of age leaving residual telangiectasias on the buttocks. | ||||
 © 2001-2009, DermAtlas | Image Name: | buttockhemangioma_1_010324 | File Type: | jpg | |
| Diagnosis: | HEMANGIOMA / SPINAL DYSRAPHISM | Category: | lumps & bumps (plaques, nodules, tumors) / neonatal dermatology | ||
| Body Site: | buttock / sacrum (tail bone) | Age: | 5 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | large reddish gray plaque with ulceration | ||||
| Comments: | A large hemangioma on the buttocks of a 5 month old boy repeatedly ulcerated before regressing. The ulcerations responded to tap water compresses and topical antibiotics. A normal ultrasound of the lumbosacral spine excluded spindal dysraphism. | ||||
 © 2001-2009, DermAtlas | Image Name: | Faun_Tail_Nevus_1 | File Type: | jpg | |
| Diagnosis: | NEVUS, FAUN TAIL / SPINAL DYSRAPHISM | Category: | neonatal dermatology / hair disorders | ||
| Body Site: | buttock / back sacrum (tail bone) | Age: | 7 years | ||
| Contributor: | Constantinos Verros, MD | ||||
| Description: | abnormal tuft of hair in lumbosacral area | ||||
| Comments: | An abnormal tuft of hair was present in the lumbosacral area of a healthy 7 year old girl at birth. Imaging studies of the underlying spine were normal. Congenital anomalies of the skin overlying the lumbosacral spine, including hemangiomas, dimples, faun tail nevi, pigmented nev, and others, can be associated with spinal dysraphism. When necessary, early surgical repair of spinal defects can minimize the risk of development of neurologic symptoms in later childhood or adolescence. | ||||
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