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Bulldog Scalp Syndrome
Mohd Altaf Mir1, Jaya Jain1, Prince Kumar1
1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Summary
Bulldog scalp syndrome (cutis verticis gyrata) causes scalp thickening and folds, impacting quality of life. Surgical correction effectively improves cosmetic appearance and patient satisfaction.
Area of Science:
- Dermatology
- Plastic Surgery
Background:
- Cutis verticis gyrata (CVG), or bulldog scalp syndrome, is a rare condition characterized by scalp thickening and characteristic folds.
- It affects quality of life due to significant cosmetic concerns, impacting patients socially and psychologically.
Observation:
- CVG presents with varying severity and has diverse underlying etiologies, classified as primary or secondary.
- The prominent skin folds can lead to mass symptoms if severe.
Findings:
- Surgical intervention, involving skin fold removal and scalp stretching, is the definitive treatment for cosmetic improvement.
- The presented cases, despite different etiologies, showed satisfactory cosmetic outcomes post-surgery.
Implications:
- Surgical management of CVG offers a good prognosis and high patient satisfaction.
- CVG is a benign condition with no reported malignant transformations, emphasizing the focus on cosmetic and psychological well-being.

