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Images in Paediatrics
Newborn with cutis marmorata telangiectatica congenita
Recién nacido con cutis marmorata telangiectásica congénita
Marina Portal Buenagaa,
Corresponding author
marinaportal@hotmail.com

Corresponding author.
, Cristina Naharro Fernándezc, Vanesa Gómez Dermitd, M. Isabel de las Cuevas Terána,b
a Unidad Neonatal, Servicio de Pediatría, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
b Departamento de Ciencias Médicas y Quirúrgicas, Universidad de Cantabria, Santander (Cantabria), Spain
c Servicio de Dermatología, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
d Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander (Cantabria), Spain
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          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Favourable outcome with partial resolution of lesions at 4 months post birth&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a male term neonate delivered by caesarean section without complications that was born with mottled cutaneous lesions with an extensive and asymmetrical distribution&#46; The highlights of the physical examination were the presence of blue&#8211;red spots of varying intensity and a net-like pattern in both lower extremities&#44; the upper extremity and hypochondrium and the lumbosacral region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; There was no mucosal involvement&#44; anthropometric abnormalities or any additional anomalies&#46; The complete blood count and the coagulation panel were normal&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">After being diagnosed with cutis marmorata telangiectatica congenita&#44; the patient underwent an evaluation to rule out extracutaneous anomalies that did not identify any visceral&#44; cardiovascular&#44; ophthalmological or central nervous system anomalies&#46; The patient remained asymptomatic and was discharged at 72<span class="elsevierStyleHsp" style=""></span>h under outpatient follow-up&#46; At 4 months&#44; there lesions had partially resolved &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; A very small asymmetry in the diameter of the lower extremities was detected&#44; with no differences in length&#46; The psychomotor development to date has been normal&#44; and the patient has not exhibited any neurologic symptoms&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Cutis marmorata telangiectatica congenita is a rare congenital vascular anomaly of unknown aetiology characterised by the presence of reticulated patches of skin with a marbled appearance that blanch with pressure and get exacerbated with cold temperatures and stress&#46; The most frequent localization is the lower extremities&#44; and the distribution is mostly asymmetrical&#46; It may be associated to other cutaneous and extracutaneous anomalies&#44; most of them mild&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It is essentially a clinical diagnosis&#44; and the differential diagnosis must include other cutaneous anomalies with a reticulated appearance&#46; There is no specific treatment for it&#46; The outcome is usually favourable&#44; in some cases with full resolution of the lesions&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a></p></span>"
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ISSN: 23412879
Original language: English
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