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Clinical Image
2 (
1
); 54-55
doi:
10.25259/WJWCH_11_2023

A case of cutis marmorata telangiectasia congenita

Department of Neonatology, B.J. Wadia Hospital for Children, Mumbai, Maharashtra, India
Department of Neonatology, Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra, India
Corresponding author: Astha Amrit, Department of Neonatology, B.J. Wadia Hospital for Children, Mumbai, Maharashtra, India. asthapanghal@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Raghunath A, Amrit A, Shah F, Shanbhag P. A case of cutis marmorata telangiectasia congenita. Wadia J Women Child Health 2023;2(1):54-5.

A full-term girl weighing 2830 g, with no significant antenatal history, was admitted to the neonatal intensive care unit with flat fixed bluish to purplish, asymmetrical, patches with marbled appearance over limbs and trunk at birth [Figure 1a-b] and corneal edema [Figure 2]. Systemic examination and preliminary blood investigations, including serum ammonia, were within normal limits. Urinary glycosaminoglycans were negative. Warming the limb did not fade away the lesions distinguishing it from cutis marmorata which can occur on exposure to cold in neonates. Based on characteristic dermatological manifestations, a diagnosis of Cutis Marmorata Telangiectasia Congenita (CMTC) was made. Other associated anomalies in this condition include neurological abnormalities (psychomotor retardation, seizures, and hypotonia) and ophthalmological conditions such as congenital glaucoma and posterior segment anomalies. A clinical diagnosis of CMTC can be made with the presence of characteristic skin lesions which include congenital reticulate (marmorated) erythema, absence of venectasia within the affected region at 1 year of age, and unresponsiveness to local warming. Differential diagnoses include Klippel-Trenaunay syndrome, Sturge-Weber syndrome, and port-wine stain capillary malformations. Although there is no specific treatment for CMTC, the prognosis is usually good, and parents can be reassured that lesions will fade in early life.[1-3]

Figure 1:
(a) Asymmetrical and fixed bluish patches with marbled appearance over limbs and trunk at birth, (b) Flat and purple patches over right lower limb.
Figure 2:
Corneal edema.

Declaration of patient consent

Patient’s consent not required as patient’s identity is not disclosed or compromised.

Conflicts of interest

There are no conflicts of interest.

Financial support and sponsorship

Nil.

References

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  2. , . Cutis marmorata telangiectatica congenita: A prospective study of 27 cases and review of the literature with proposal of diagnostic criteria. Clin Exp Dermatol. 2009;34:319-23.
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    [CrossRef] [PubMed] [Google Scholar]

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