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Vol. 20 - Num. 79

Clinical Reviews

Lumbar skin abnormality in a baby: is it always a banal lesion?

Verónica Recio Pascuala, Ana Vereas Martíneza, Leyre López Villanuevab

aServicio de Pediatría. Hospital Santiago Apóstol. Miranda de Ebro. Burgos. España.
bCS Miranda Este. Miranda de Ebro. Burgos. España.

Correspondence: V Recio. E-mail:

Reference of this article: Recio Pascual V, Vereas Martínez A, López Villanueva L. Lumbar skin abnormality in a baby: is it always a banal lesion? Rev Pediatr Aten Primaria. 2018;20:e69-e73.

Published in Internet: 11-09-2018 - Visits: 40455


Occult spinal dysraphism refers to congenital anomalies which are characterized by an incomplete fusion of the neural tube without exposure of the lesion to the outside. The main clinical syndrome is the tethered cord syndrome that leads to important neurological manifestations with permanent deterioration. Skin and nervous system have a common ectodermal origin so combined malformations of both are common. Many skin lesions are associated with occult spinal dysraphism, on several occasions, they are the only clue to suspect this pathology. A magnetic resonance is the fundamental method to reach a certain diagnosis. Greater awareness of this pathology and a better recognition of skin lesions by professionals would lead to an early diagnosis and an individualized management in order to avoid neurological deficits. We report a case of early diagnosis and review the medic literature.


Neural tube defects Skin abnormalities Spina bifida occulta Spinal dysraphism



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