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Journal of the American Academy of Dermatology · 2016

The scalp hair collar and tuft signs: A retrospective multicenter study of 78 patients with a systematic review of the literature.

СтатьяМногоцентровое исследованиеСистематический обзорНазвание и аннотация: Перевод в очереди
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Bessis Didier, Bigorre Michèle, Malissen Nausicaa, Captier Guillaume, Chiaverini Christine, Abasq Claire, Barbarot Sébastien, Boccara Olivia, Bourrat Emmanuelle, El Fertit Hassan, Eschard Catherine, Hubiche Thomas, Lacour Jean-Philippe, Leboucq Nicolas, Mahé Emmanuel, Mallet Stéphanie, Marque Myriam, Martin Ludovic, Mazereeuw-Hautier Juliette, Milla Nathalie, Phan Alice, Plantin Patrice, Picot Marie-Christine, Puzenat Eve, Rigau Valérie, Vabres Pierre, Fraitag Sylvie, Boralevi Franck, Groupe de Recherche Clinique en Dermatologie Pédiatrique

Аннотация

BACKGROUND: Hair collar sign (HCS) and hair tuft of the scalp (HTS) are cutaneous signs of an underlying neuroectodermal defect, but most available data are based on case reports.

OBJECTIVE: We sought to define the clinical spectrum of HCS and HTS, clarify the risk for underlying neurovascular anomalies, and provide imaging recommendations.

METHODS: A 10-year multicenter retrospective and prospective analysis of clinical, radiologic, and histopathologic features of HCS and HTS in pediatric patients was performed.

RESULTS: Of the 78 patients included in the study, 56 underwent cranial and brain imaging. Twenty-three of the 56 patients (41%) had abnormal findings, including the following: (1) cranial/bone defect (30.4%), with direct communication with the central nervous system in 28.6%; (2) venous malformations (25%); or (3) central nervous system abnormalities (12.5%). Meningeal heterotopia in 34.6% (9/26) was the most common neuroectodermal association. Sinus pericranii, paraganglioma, and combined nevus were also identified.

LIMITATIONS: The partial retrospective design and predominant recruitment from the dermatology department are limitations of this study.

CONCLUSIONS: Infants with HCS or HTS are at high risk for underlying neurovascular anomalies. Magnetic resonance imaging scans should be performed in order to refer the infant to the appropriate specialist for management.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты