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Cutis Verticis Gyrata Treatment & Management

  • Author: Malgorzata D Skibinska, MD, PhD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Apr 14, 2016
 

Medical Care

Properly establishing the diagnosis is very important. Separately exclude or treat any underlying process (see Background). Primary essential cutis verticis gyrata is a cosmetic problem, but psychological repercussions are important.

Hygiene for folds and furrows is very important. In some patients, using medicated shampoos may be beneficial.

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Surgical Care

In primary cutis verticis gyrata, surgical resection of the lesions is usually requested for psychological or esthetic reasons.[63, 37, 64, 65, 66, 67, 68]

In cases of cerebriform intradermal nevus, early diagnosis, wide surgical excision, and plastic reconstruction should be always considered.[20, 21, 51]

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Consultations

Consult a surgeon to establish the possibility of surgical excision. Consider a consultation with a neurologist if any suspicion exists of an underlying neurologic process. Additionally, consider a consultation with an ophthalmologist if any suspicion exists of an underlying ophthalmologic abnormality.

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Complications

Congenital nevus of the scalp, which may clinically produce cutis verticis gyrata, can be the site of malignant transformation and it can occur very early in life.[20, 21, 22, 50]

Malignant melanoma occurs in up to 10% of patients with cerebriform melanocytic nevi; however, recent data suggest the rate of transformation may only be on the order of 4.5%.[20, 21, 53]

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Long-Term Monitoring

If the patient does not agree to any surgical treatment or this procedure is contraindicated, the patient should be seen every 3-6 months to estimate the progression of the lesions.

Patients with cerebriform melanocytic nevus require long-term clinical follow-up in order to detect malignant transformation.[21, 51]

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Contributor Information and Disclosures
Author

Malgorzata D Skibinska, MD, PhD Locum Consultant Dermatologist, Department of Dermatology, Basildon University Hospital, UK

Malgorzata D Skibinska, MD, PhD is a member of the following medical societies: British Medical Association, Royal College of Physicians, Royal Society of Medicine, British Association of Dermatologists, British Society of Allergy and Clinical Immunology

Disclosure: Nothing to disclose.

Coauthor(s)

Camila K Janniger, MD Clinical Professor of Dermatology, Clinical Associate Professor of Pediatrics, Chief of Pediatric Dermatology, Rutgers New Jersey Medical School

Camila K Janniger, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Specialty Editor Board

David F Butler, MD Section Chief of Dermatology, Central Texas Veterans Healthcare System; Professor of Dermatology, Texas A&M University College of Medicine; Founding Chair, Department of Dermatology, Scott and White Clinic

David F Butler, MD is a member of the following medical societies: American Medical Association, Alpha Omega Alpha, Association of Military Dermatologists, American Academy of Dermatology, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Phi Beta Kappa

Disclosure: Nothing to disclose.

Robert A Schwartz, MD, MPH Professor and Head of Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, Rutgers New Jersey Medical School; Visiting Professor, Rutgers University School of Public Affairs and Administration

Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, New York Academy of Medicine, American Academy of Dermatology, American College of Physicians, Sigma Xi

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Daniel J Hogan, MD Clinical Professor of Internal Medicine (Dermatology), Nova Southeastern University College of Osteopathic Medicine; Investigator, Hill Top Research, Florida Research Center

Daniel J Hogan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Contact Dermatitis Society, Canadian Dermatology Association

Disclosure: Nothing to disclose.

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