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Ever heard of “bulldog scalp”? That’s the nickname for a rare condition called Cutis Verticis Gyrata (CVG), where the scalp develops deep folds resembling the surface of the brain! This unique condition affects about 1 in 100,000 males and is even rarer in females (0.026 in 100,000). . CVG comes in different forms. The primary type appears on its own, while secondary CVG develops due to underlying conditions. While rare, it’s seen more often in people with: - #ConnectiveTissueDisorders (like Ehlers-Danlos Syndrome) - Hormonal conditions like acromegaly - Inflammatory #SkinConditions - Neurological disorders - Genetic syndromes #RareDiseases The characteristic brain-like folds typically develop after puberty but before age 30. These folds can’t be flattened with pressure and usually affect the crown and back of the scalp. The number of folds can range from just 2 to more than 10. Diagnosis is primarily clinical, though doctors may recommend: - Neurological evaluation - Skin biopsy - MRI imaging - Hormone level testing ...to identify any underlying conditions. . Treatment focuses on maintaining excellent scalp hygiene to prevent secretions from accumulating in the furrows. For those bothered by the appearance, surgical options are available. Small areas can be corrected in one procedure, while larger areas might need multiple surgeries. While CVG is generally harmless and mainly a cosmetic concern, it’s important to have it evaluated by a healthcare provider, especially if it develops suddenly or later in life, as this could signal an underlying condition requiring treatment. #Dermatology
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