Epidermal nevus and woolly hair may rarely coexist as part of mosaic RASopathies caused by postzygotic HRAS mutations. We report a 1-year-old boy with ipsilateral epidermal nevus and localized woolly hair, accompanied by right frontal encephalomalacia and developmental delay. Genetic testing revealed a mosaic HRAS mutation (c.34G>A, p.Gly12Ser) in lesional skin. This case expands the spectrum of HRAS-related mosaic RASopathies and highlights the association between epidermal nevus, woolly hair and neurological involvement.
Muallem et al. (Tue,) studied this question.