Congenital Hairy Nevi in an Obese, 24-Year-Old Woman

January 11, 2012

Would you worry about neoplastic transformation of these lesions, or would your concerns be focused more specifically on their midline location? If so, why? Would you pursue further investigation? We invite your comments. Click here for more details.


Case and photo courtesy of Ted Rosen, MD

These are congenital hairy nevi. The patient - a 24-year-old obese woman - had presented for laser hair removal from both spots on her lower back. A very directed review of systems revealed some lower back pain that radiated down her right leg, suggestive of a radiculopathy. She denied lower extremity weakness.

Would you worry about neoplastic transformation of these lesions, or would your concerns be focused more specifically on the lesions’ midline location? If so, why? Would you pursue further investigation?


Please add your comments below and then click here for a discussion.