We describe an unusual case involving the simultaneous occurrence of segmen
tal neurofibromatosis (Type V NF) in a patient with a large nevus sebaceus
of Jadassohn in the same physical distribution. Causative mechanisms of dev
elopment of these 2 genetic disorders have not been definitively linked. Fa
ctors producing these diseases probably involve similar tissues at the same
point in development because both have been reported in association with c
entral nervous system anomalies and have been classified among the neurocut
aneous syndromes. This is a case of a nevus sebaceus occurring in associati
on with and in the same physical distribution as segmental NF. These disord
ers most likely represent a spectrum of disease within the phakomatoses.