Quiz 16 - 10yo with excessive hair on the back

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Thank you for this interesting image collection. I am a fan.
I cant think of many differentials. This is classic image. It is distributed along the rib cage isn't it?
What was his testicular volume
His hair is nice and silky. What shampoo does he use>>> <<< ???
what was his weight for height and weight for age and height for age ?
Is it Lawerence moon biedl syndrome?
It may be a case of 'Spina Bifida Occulta' as they are usually asymptomatic and the overling tuft of hair may be the only indication of the underlying defect.
does he got any x-ray / CT scan of dorso-lumbar spine ?
is it adrenolipodystrophy ?
its spina bifida occulata
The side and front pictures are confusing. They do not help make the diagnosis and in fact confuse us!
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