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Tuft of hair in spinal dysraphism

8 year old female with history of operated spinal dysraphism, she presented to neurosurgery clinic with this tuft of hair, she was referred to dermatology clinic.

Similar cases

Resubmitted with clarification: This photo was taken by the patient, but she is under clinical care at my institution - i.e., this is not a friend/family submission. She has episodes like this that have been seen in clinic, but this is the most representative and well-lit picture, so she was asked to provide it for discussion.

A 60-year-old woman presented with a severe rash on her face, arms and torso. She had seen physicians near her home, and was originally diagnosed with sunburn, though she reports not having spent much time in the sun. She felt that her condition continued to deteriorate, with her skin going from “red to violet” and the development of pain in muscles and joints. She came to Cleveland Clinic for a second opinion 11 months following the initial “sunburn” diagnosis. She was diffusely covered in rash and so weak that she was unable to walk. The patient was diagnosed with dermatomyositis. After attempted treatment with several different medications, she was able to walk again after achieving and maintaining excellent control on a clinical trial.

Female patient, 62 years old. She sought a medical consultation for other reason, but during the clinical examination I noticed these spots on her cervical region. She denies itching. What is the diagnosis and treatment?

I saw this patient in a clinic I was volunteering in in Mexico. She has this over both arms, legs and torso. Said she's had it for two years. She said they heal then others appear.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?