Re: fetal hair

From: Lisa Comer (jcomer@hotmail.com)
Tue May 15 17:47:12 2007


At Tue, 15 May 2007, Victoria Hospodar Valentine wrote: >
>Interesting that you mention that. I had a patient just a few weeks ago who
>was 35.3 weeks by sono, and this was her first exam. The fetus was in
>vertex presentation and the cervical area showed thickening and what
>appeared to be edema within the skin. It was very difficult to get clear
>pictures due to the presentation and maternal size. The radiologist
>suggested that it may be hair, but I saw no movement of strands and the
>borders appeared to be one with the remainder of the skin. I will check
>with the OB and see if she has delivered and if there were any
>abnormalities. In addition the fetus' bladder was quite distended, but
>there were no ancillary findings of bladder outlet obstruction, and it was
>suggested that the patient be sent to a specialized facility for further
>testing.
>Victoria Valentine BA, RDMS

Thanks for your response. This pt. was 32 wks MA LEC, 1st sono, 35 CGA sonographically, and Latino. No signs of hydrops anywhere, cardiac flow and dopplers WNL--absolutely nothing else. What I was seeing was spine, skin layer, 1 cm hypoechoic layer, then hair strands superficially. Of note is that this hypoechoic layer was more apparent axially than sagitally--couldn't ignore it however. Referral to perinatologist suggested a "ton" of hair. One article I have located on the web states "hair artifact", but not much in the way of detailed info. Thought I had seen it all... Lisa Comer RDMS,RDCS




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