We report a 1-year-old boy with an extensive cutaneous vascular malfor
mation, oculocutaneous pigmentation, and severe neurologic abnormaliti
es from birth, as well as a selective IgA deficiency. Ultrastructural
study demonstrated prominent endothelial cells in the lumina of the bl
ood vessels. The diagnosis of phacomatosis pigmentovascularis type IIb
seemed appropriate for this patient.