Nevus comedonicus (NC) is an uncommon developmental defect of the pilo
sebaceous apparatus, The individual lesions are large comedones often
arranged in groups or in a linear pattern. Nevus comedonicus syndrome
(NCS) is a well-defined disorder within the large group of epidermal n
evus syndromes. In patients suffering from NCS, the nevus is associate
d with noncutaneous abnormalities including skeletal defects, cerebral
anomalies, and cataracts. We report a 9-year-old boy with open comedo
nes in a linear pattern localized to the right cheek, clinodactyly and
polydactyly of the first right finger, bilateral syndactyly of the se
cond and third toes, and some depigmented hairs since birth.