Aplasia cutis congenita (ACC) is an uncommon anomaly of absence of skin. It may be localized or widespread. It most commonly presents as a solitary lesion of the scalp and may be as large as 70 percent of that site. Involved areas are well-circumscribed, not inflamed, and vary in size from 0.5 to 10 cm or larger. At birth lesions may appear as scars or ulcers [1]. On the scalp they may appear as parchment-like scars with alopecia.