Incidental finding of a true human tail in an adult: a case report.

Autor: Robinson CG; The University of Texas Health Science Center at Houston, Department of Dermatology, Houston, TX, USA., Duke TC; The University of Texas Health Science Center at Houston, The John P. and Kathrine G. McGovern Medical School, Houston, TX, USA., Allison AW; The Dermatology Clinic, Baton Rouge, LA, USA.
Jazyk: angličtina
Zdroj: Journal of cutaneous pathology [J Cutan Pathol] 2017 Jan; Vol. 44 (1), pp. 75-78. Date of Electronic Publication: 2016 Oct 20.
DOI: 10.1111/cup.12820
Abstrakt: True human tails are rare vestigial structures that are typically removed in childhood. Here a case is presented in which an inconspicuous sacrococcygeal tail was incidentally discovered in late adulthood. A 56-year-old man with no significant past medical history presented to a dermatology clinic with a chief complaint of a hyperpigmented lesion on his central back. However, on full body skin exam, a separate flesh-colored 0.7 cm × 0.5 cm appendage was discovered in the midline sacrococcygeal region. This lesion had been present and unchanged since childhood. This particular lesion was removed via shave biopsy. Microscopic exam found it to be consistent with a diagnosis of a true human tail. There were no apparent involved spinal cord structures, and no further treatment was thought to be necessary. Human tails are congenital anomalies associated with occult spinal lesions in about 50% of cases. Therefore, it is in these patients' best interest to thoroughly evaluate for spinal cord involvement prior to biopsy. There is a relative lack of literature published on the topic, and a greater awareness of human tails would be helpful to ensure their inclusion in a differential diagnosis for persistent sacrococcygeal lesions in patients of any age.
(© 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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