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Living with Aplasia cutis congenita

A condition in which babies are born with small patches of missing skin, most often on the scalp.

Understanding Aplasia cutis congenita

Aplasia cutis congenita is a condition in which babies are born with small areas of missing skin that look like open sores.

The patches are most common on the top of the head but can appear on the torso or limbs. Most babies have one patch. They are sometimes already healed at birth and usually leave a scar. On the scalp there may be no hair growth in that area. Sometimes the bone or tissue beneath is underdeveloped, which raises the risk of infection.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Missing patch of skin at birth
  • Patch on the top of the scalp
  • Open skin sore (ulcer)
  • Gap in the skull bone (calvarial defect)
  • Spinal dysraphism (spine did not close fully)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in BMS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does my baby's skin patch involve the bone or tissue underneath?
How should the area be protected and watched for infection?
Would BMS1 genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive
GenesBMS1

GARD lists changes in the BMS1 gene. It can be inherited in a dominant way (one changed copy of the gene) or a recessive way (a changed copy from each parent). It can also appear as part of other conditions.

GeneticSkin

Also known as: absence of part of skin at birth; acc; acc - aplasia cutis congenita; aplasia cutis congenita (disease); aplasia cutis congenita recessive; aplasia of skin

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Aplasia cutis congenitaGARD ID 5835 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Aplasia cutis congenita.

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