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  • Title: Hair whorl as an indicator of a mediastinal plexiform neurofibroma.
    Author: Pivnick EK, Lobe TE, Fitch SJ, Riccardi VM.
    Journal: Pediatr Dermatol; 1997; 14(3):196-8. PubMed ID: 9192411.
    Abstract:
    We report a boy with neurofibromatosis type 1 (NF-1) who had nonspecific respiratory symptoms and a mediastinal mass. In addition to multiple caté 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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