Congenital vertex ulceration in a 3-day-old newborn

Aplasia cutis congenita (ACC) is a rare congenital malformation characterized by localized or generalized absence of the skin. It can occur on any part of the body but primarily on the scalp. Varying degrees of severity are observed, ranging from isolated skin absence to full-thickness defects involving bone and underlying nerve structures. These defects can impact the child's vital and functional prognosis. Management depends on the degree of skin involvement and the presence of underlying issues, mainly neurological. We report the case of a 3-day-old newborn with cutaneous aplasia of the vertex without underlying bone involvement, who was successfully treated with targeted wound healing.