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Faun-tail nevus--a case report.

P Basak, A J Kanwar, S Kaur

    Indian Journal of Dermatology
    |September 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    A faun-tail nevus, a rare birthmark with a hair tuft, can conceal spinal defects. This case highlights a lumbar bony defect associated with the nevus, though without neurological symptoms.

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    Area of Science:

    • Dermatology
    • Neurology
    • Orthopedics

    Background:

    • Faun-tail nevus, a congenital skin anomaly characterized by a localized patch of hypertrichosis, is often associated with underlying spinal dysraphism.
    • Spinal dysraphism encompasses a spectrum of congenital vertebral malformations.
    • Early identification is crucial for managing potential neurological complications.

    Observation:

    • A patient presented with a faun-tail nevus located in the lumbar region.
    • A prominent tuft of hair was noted overlying the nevus.
    • The hair concealed a visible bony defect of the fifth lumbar vertebra.

    Findings:

    • Radiographic or physical examination revealed a spina bifida occulta at the L5 vertebral level.
    • Despite the bony defect, the patient exhibited no neurological deficits or symptoms.

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  • The faun-tail nevus served as a cutaneous marker for the occult spinal anomaly.

    • Implications:

    • This case underscores the importance of a thorough physical examination in neonates with congenital skin markers like faun-tail nevus.
    • It emphasizes the need for considering underlying spinal abnormalities even in the absence of neurological signs.
    • Further investigation may be warranted to rule out associated intraspinal anomalies in similar presentations.