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Hair Whorl as an Indicator of a Mediastinal Plexiform Neurofibroma |
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| Authors: | Enikö K Pivnick MD Thorn E Lobe MD Sarah J Fitch MD Vincent M Riccardi MD |
| Institution: | Division of Genetics, Department of Pediatrics, University of Tennessee, Memphis, Tennessee;Department of Pediatric Ssurgery, LeBotiheur Children's Medical Cettter, Memphis, Tentiessee;Department of Radiology, LeBotiheur Children's Medical Cettter, Memphis, Tentiessee;Department of Neurofthromatosis Institute, La Crescenta, California |
| Abstract: | Abstract: We report a boy with neurofibromatosis type 1 (NF-1) who had nonspecific respiratoi symptoms and a mediastinal mass. In addition to multiple cafe au lait macules and subcutaneous neurofibromas, he had a hair whorl over the spine at the level of a deep mediastinal mass demonstrated by CT scan and MR examination. Thoracoscopy and biopsy of the mass revealed a plexiform neurofibroma. The clinical sign of a hair whorl may assist the clinician in early recognition of a paraspinal plexiform neurofibroma. |
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