The presence of a patch of hypertrichosis overlying the mid-lower back (“faun tail nevus”) may signal the presence of spina bifida occulta, diastematomyelia, or duplication or tethering of the spinal cord. A thorough neurologic investigation is warranted in such cases. CNS lesions of this type may eventually lead to a neurologic defect and require neurosurgical correction. The simultaneous presence of other skin lesions, such as lipoma, hemangioma or port-wine stain, increases the possibility of a spinal cord abnormality. Source: Disorders of Nails and Hair, Weinberg's Color Atlas of Pediatric Dermatology, 5e Citation: Prose NS, Kristal L. Weinberg's Color Atlas of Pediatric Dermatology, 5e; 2017 Available at: http://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/1913/weinderm5_ch29_f043.png&sec=138563480&BookID=1913&ChapterSecID=138563409&imagename= Accessed: March 01, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved