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Living with Neurocutaneous melanocytosis

A rare condition, not inherited, with dark moles on the skin and in the brain, noticed at birth and in the first years of life.

Understanding Neurocutaneous melanocytosis

Neurocutaneous melanocytosis (neurocutaneous melanosis, NCM) is a rare condition of the nervous system with pigmented moles in the skin and the brain.

It is not inherited. Two-thirds of people have giant congenital melanocytic nevi (large moles present at birth). The rest have many smaller lesions. Skin lesions are present at birth. Nervous system signs usually show up in the first or second year, most often as high pressure inside the skull, along with seizures and less alertness.

Signs & symptoms

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

  • Many moles present at birth (congenital melanocytic nevi)
  • Seizures
  • Higher pressure inside the skull
  • Extra fluid in the brain (hydrocephalus)
  • Intellectual disability
  • Thickened or darker skin

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 brain and nervous system specialists, cancer 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
Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); 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
How should the skin moles be checked?
How often should brain imaging be done?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startChild

The underlying cause is not completely understood. It is believed to be a primary defect in the neural crest, a group of cells in early development.

NeurologicalSkin

Also known as: ncm; ncms; neurocutaneous melanosis; neurocutaneous melanosis, somatic; neuromelanosis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Neurocutaneous melanocytosisGARD ID 7186 · 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 Neurocutaneous melanocytosis.

Explore the Neurocutaneous melanocytosis blog

Explore research for Neurocutaneous melanocytosis

Explore actively recruiting Neurocutaneous melanocytosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Neurocutaneous melanocytosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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