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Clinical case: Cutis Gyrata vertis

Abstract:

Introduction: Cutis Vertis Gyrata (CVG) is a rare pathological entity which mainly affects the scalp. This is characterized by the presence of a “cerebroid” aspect of the scalp. It can occur spontaneously or be secondary to an underlying disease. The resolution of this disease depends on its etiology and reconstructive surgery can be performed only for aesthetic purposes. Case report: An 18 years male patient who for 3 years has had lesions on the scalp without apparent cause and in the absence of other symptoms. On physical examination there is the presence of lesions in the form of sulci and gyri in the scalp. Evolution: Laboratory Exams were ordered such as blood count, blood chemistry and urine exam which were within normal parameters. It was decided to perform a biopsy for pathological analysis finding expansion of pilosebacuem follicle with thickened collagen fibers in dermis confirming the diagnosis of primary CVG giving choice to the patient for surgical repair of the injuries for aesthetic purposes. Conclusion: CVG is a pathological entity with a low grade of incidence and very few bibliographic descriptions and cases reported which is diagnosed with clinical signs, histopathology and discarding underlying diseases that can cause it. Treatment in a primary CVG is only for aesthetic purposes and if is secondary of an underlying disease it should be eradicated to improve the patient´s symptoms.