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Living with Phakomatosis pigmentokeratotica

A rare skin condition with speckled dark spots and raised oily patches, sometimes with other body differences.

Understanding Phakomatosis pigmentokeratotica

Phakomatosis pigmentokeratotica is a rare skin condition that combines speckled dark spots with oily, raised skin patches.

The skin has speckled lentiginous nevi (flat spots with darker dots) together with epidermal sebaceous nevi (raised, oily patches). Some people also have differences in other parts of the body, such as a curved spine. It is noticed in newborns and infants.

Signs & symptoms

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

  • Speckled dark skin spots (nevus spilus)
  • Raised, oily skin patches (nevus sebaceous)
  • Curved spine (scoliosis)

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 cancer specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

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

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
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 Foundation for Ichthyosis and Related Skin Types and other patient organizations
  • 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
Do the skin patches need to be monitored or removed?
Should my spine and other body systems be checked?
Would HRAS testing explain the diagnosis?

Quick facts

Symptoms usually startNewborn and as an Infant
GenesHRAS

Changes in the HRAS gene cause this condition.

GeneticSkin

Patient organizations

Source: NIH GARD · Phakomatosis pigmentokeratoticaGARD ID 4311 · 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 Phakomatosis pigmentokeratotica.

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Explore actively recruiting Phakomatosis pigmentokeratotica studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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