Cutis verticis gyrata

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

History of myelofibrosis, complaining headache.

Patient Data

Age: 30 years
Gender: Male
mri

Marked thickening of scalp with ridges and furrows, anterior to posterior in direction, involving dermis and subcutis,  resemble gyriform surface of cerebral cortex.

Also noted hypointense thickened calvarial bone with small enhanced nodules, likely changes related to myelofibrosis.

Mucosal thickening of both maxillary and right frontal sinuses, sinusitis.

Case Discussion

Thickened scalp with ridges and furrows, giving a gyriform surface of cerebral cortex, suggestive cutis verticis gyrata. Given the history of myelofibrosis, this may be secondary cutis verticis gyrata.

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