A 54-year-old carpenter presented to the dermatology clinic for evaluation of a lesion on his right forehead that turned out to be benign.  He also mentioned that his barber brought to his attention some thick furrows he has in his scalp.  These had developed slowly over the past decade or so. Examination of his scalp shows deep furrows consistent with a diagnosis of cutis verticis gyrata .  The patient, after searching the Web, had arrived at the same diagnosis. Since cutis verticis gyrata (CVG) can be associated with acromegaly, I asked the patient about changing hat size, hand size, etc.  He says that over the past 10 or 15 years, … Continue reading →