Cutis marmorata telangiectatica congenita.

Cutis Marmarata Telangiectatica is a benign vascular anomaly that manifests as dilatation of superficial capilllaries and veins usually present at birth.

INTRODUCTION

A 4-day-old full term appropriate for date newborn was brought to the hospital with bluish spots with purple hue over the hand, arms, legs, and a portion of chest, which was present since birth. These bluish spots were noted more markedly since last 2 days and more pronounced while crying. There was no history of associated mucosal or subcutaneous bleed elsewhere in the body. On examination, head circumference was within normal limits. No other congenital anomaly was noted. There was no finding suggestive of intrauterine infections. On investigation, laboratory values for hemoglobin, total leukocyte count, and platelet count were 16 g%, 6800/mm3, and 283000/mm3, respectively. Based on these findings and cutaneous pattern, diagnosis of Cutis Marmorata Telangiectatica Congenita (CMTC) was made [Figure 1].

Figure 1

Cutis marmorata telangiectatica congenita

CMTC is a benign vascular anomaly that manifests as dilatation of superficial capillaries and veins usually present at birth. Involved areas of skin have a reticulated red or purple hue that resembles physiological cutis marmorata but is more pronounced and relatively unvarying.[1] The lesions may be restricted to a single limb and a portion of trunk or may be more widespread. Portwine stain may also be associated. The lesions may be more pronounced during changes in environmental temperature, physical activity, or crying. In some cases, underlying subcutaneous tissue is underdeveloped and ulceration may occur within the reticulated bands. Rarely, defective growth of bone and other congenital anomalies may be present.[2] No specific therapy is needed. Mild vascular cases usually show gradual improvement.