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Living with Aplasia cutis-myopia syndrome

A rare syndrome with missing skin patches at birth, strong nearsightedness, and eye movement and retina differences.

Understanding Aplasia cutis-myopia syndrome

Aplasia cutis-myopia syndrome is a rare condition with missing patches of skin at birth along with severe nearsightedness and other eye differences.

Along with patches of missing skin (aplasia cutis congenita), people have high myopia (severe nearsightedness), rapid eye movements present from birth (nystagmus), and cone-rod dysfunction in the retina. It has been described in two siblings, a brother and sister. It is noticed in newborns.

Signs & symptoms

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

  • Missing patch of skin at birth
  • Severe nearsightedness (high myopia)
  • Rapid eye movements from birth (nystagmus)
  • Gap in the skull bone
  • Unusual retinal color (pigment)

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 eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); 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
Which eye specialist should follow the retina and vision?
Is there anything to watch for in the skull defect?
Would genetic testing help clarify the inheritance in our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD says changes in genes (also called variants) cause this syndrome. Its listing says autosomal recessive, while its summary mentions autosomal dominant transmission.

GeneticSkin

Also known as: aplasia cutis congenita, high myopia, and cone-rod dysfunction; aplasia cutis myopia; gershoni-baruch-leibo syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Aplasia cutis-myopia syndromeGARD ID 756 · 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-myopia syndrome.

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