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Cutis marmorata - Skin
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Cutis marmorata - Skin

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Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH, Nancy Esterly MD
Other Resources UpToDate PubMed

Synopsis

Cutis marmorata refers to the net-like, violaceous pattern seen in newborns as a result of transient shifts in cutaneous blood flow. This is a common condition, occurring more frequently in premature infants and may persist to the fourth week of life. Trisomy 18, Down syndrome, Cornelia de Lange syndrome, and hypothyroidism have been associated with cutis marmorata that persists beyond early infancy.

Codes

ICD10CM:
R23.8 – Other skin changes

SNOMEDCT:
26825009 – Cutis marmorata

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Unlike cutis marmorata, cutis marmorata telangiectatica congenita is persistent on warming, asymmetric, well-localized, and often associated with cutaneous and/or underlying limb atrophy.
  • Cardiac and pulmonary disease is associated with central cyanosis (cyanosis of the lips, face, and trunk) rather than cutis marmorata.
  • In livedo reticularis, there is a prominent vascular pattern related to underlying vasculitis.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 10/04/2016
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Cutis marmorata - Skin
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Cutis marmorata : Mottled configuration, Purple color, Net-like, Hyperpigmentation, Arms, Legs
Clinical image of Cutis marmorata
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