Aplasia cutis congenita in two brothers - a rare occurrence

Aplasia cutis congenita (ACC) is characterized by the absence of a portion of skin in a localized or widespread area at birth. It is a rare disorder with a complicated pattern of inheritance. No unifying theory can account for all lesions of ACC. Apart from the isolated finding of aplasia cutis; several reports have associated it with a large number of developmental anomalies. Therefore, a complete physical examination should be performed to search for associated physical anomalies or recognizable malformation syndromes. We document two brothers aged, 6 years and I year, who presented with aplasia cutis congenita at almost the same location on scalp.