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Hair whorl as an indicator of a mediastinal plexiform neurofibroma
E K Pivnick1, T E Lobe, S J Fitch
1Department of Pediatrics, University of Tennessee, Memphis 38105, USA.
Pediatric Dermatology
|May 1, 1997
Abstract:
We report a boy with neurofibromatosis type 1 (NF-1) who had nonspecific respiratory symptoms and a mediastinal mass. In addition to multiple caté au lait macules and subcutaneous neurofibromas, he had a hair whorl over the spine at the level of a deep mediastinal mass demonstrated by CT scan and MR examination. Thoracoscopy and biopsy of the mass revealed a plexiform neurofibroma. The clinical sign of a hair whorl may assist the clinician in early recognition of a paraspinal plexiform neurofibroma.