Giant axonal neuropathy is a rare autosomal recessive neurodegenerative disease.
The condition is characterized by neurons with abnormally large axons due to
intracellular filament accumulation. The swollen axons affect both the
peripheral and central nervous system. A 6-year old female patient had been
referred to a geneticist reporting problems with walking and hypotonia. At the
age of 10, she became wheelchair dependent. Scanning electron microscopy of a
curly hair classified it as pili canaliculi. GAN gene sequencing demonstrated
mutation c.1456G>A (p.GLU486LYS). At the age of 12, the patient died due to
respiratory complications. Dermatologists should be aware of this entity since
hair changes are considered suggestive of GAN.