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Cutis marmorata
Cutis marmorata telangiectatica congenita, a vascular malformation associated with skin atrophy. Unlike typical cutis marmorata, it does not resolve with skin rewarming.
Cutis marmorata telangiectatica congenita can occur in a dermatomal distribution and be associated with malformations of other organ systems.
Cutis marmorata telangiectatica congenita in this child was an isolated skin finding.
Skin atrophy and reticulated blood vessels are notable in this view.
DESCRIPTION
Benign, transient skin mottling that resolves with rewarming.
HISTORY
• A common, normal, vascular reaction pattern seen in both full-term and preterm infants due to an exaggerated vasomotor response to decreased core body temperature. • Must be distinguished from persistent mottling seen in Down syndrome, trisomy 18, hypothyroidism, neonatal lupus, and septic shock.
PHYSICAL FINDINGS
• Blanching mottled or lace-like erythema. • Resolves with rewarming • Occurs on trunk and extremities.
TREATMENT
• Rewarming results in complete resolution of erythema. • Parents should be reassured.
