To present a case of anterior cervical hypertrichosis (ACH) in a healthy child and highlight the clinical features and differential diagnoses.
Approach:
Case Presentation: A 4-year-old female presented with localized excessive hair on the anterior neck, noted since birth, with no associated symptoms or skin lesions.
Clinical Assessment: Physical examination revealed a well-defined patch of terminal hair without neurological signs or systemic symptoms. Family history included a sibling with spina bifida.
Investigations: Selective investigations including x-rays and neck ultrasound were performed to rule out associated skeletal and spinal abnormalities, all of which returned normal.
Key Findings:
ACH is a rare, usually congenital condition characterized by excessive terminal hair on the anterior neck.
The condition may be associated with neurological and skeletal abnormalities.
Careful clinical assessment is necessary, especially in cases with relevant family history.
Interpretation:
Increased awareness among healthcare providers is essential to prevent misinterpretation and unnecessary investigations.
Limitations:
The study is based on a single case report, limiting generalizability.
No advanced imaging was performed due to the absence of neurological symptoms.
Conclusion:
Early recognition and reassurance can alleviate parental anxiety and avoid excessive diagnostic procedures.
