CUTIS MARMORATA CONGENITA TELANGIECTATICA
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I need advice regarding a seven mo old girl brought in to eval an area of 
cutis marmorata on R knee and lower leg. Present at birth, lesion fills and 
empties with changes in appearance from dark blue, to red, to white 
(disappears). No palpable lesion or obvious atrophy. Child has a 2 cm 
strawberry hemangioma on R chest.
No other abn of limbs or skin. Seems well developed.
Is this CMTC?
If yes, what if any areas to evaluate for associated congenital 
abnormalities?

Jerry Eisner
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I discussed your case with Dr. Tersita Laude, our pediatric dermatologist at
SUNYHSCB. To quote her,"Sounds like a mild case of cutis marmorata congenita
telangiectatica, which occurs mostly in girls (95% of the time). Watch out
for ulcerations and discrepancy in limb growth. If the general physical
examination is normal, then it's an isolated anomaly."
     
Yelva Lynfield, MD
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				5.01.96