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Image Number 1895 (Sacral hair tuft)

Hair excess

Diagnosis: Sacral hair tuft

Site: Sacrum

Sex: M

Age: 12


Description: Localized hypertrichosis.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


There are many causes of localized congenital hypertrichosis such as hypertrichosis cubiti (hairy elbows), congenital nevocytic nevi, anterior cervical hypertrichosis, and simple nevoid hypertrichosis. Localized hypertrichosis may be a sign of underlying spinal dysraphism when it occurs over the sacral midline. Fortunately, the presented case had no associated spina bifida. 

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