Cutis marmorata

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Cutis marmorata
Cutis marmorata DCS I.jpg
Cutis marmorata in a patient with Type I decompression sickness (DCS)
SpecialtyDermatology

Cutis marmorata (from Latin marmor, "marble") is a benign skin condition.[1] If persistent, it may be part of Cornelia de Lange syndrome, trisomy 13 and trisomy 18 syndromes.[2] When a newborn infant is exposed to low environmental temperatures, an evanescent, lacy, reticulated red and/or blue cutaneous vascular pattern appears over most of the body surface. This vascular change represents an accentuated physiologic vasomotor response that disappears with increasing age, although it is sometimes discernible even in older children. It is also seen in cardiogenic shock.[citation needed]

Cutis marmorata telangiectatica congenita is clinically similar, but the lesions are more intense, may be segmental, are persistent, and may be associated with loss of dermal tissue, epidermal atrophy and ulceration.

In decompression sickness

Cutis marmorata also occurs in decompression sickness (DCS). Although it is considered Type I DCS, which is non-neurological, it is typically treated as if the patient has the more severe Type II DCS. This is because past experience in diving medicine has shown that patients initially presented with only this symptom have a high likelihood of progression to neurological, Type II, DCS without prompt treatment.[3] The marbling does not resolve until few days after treatment, but any pruritus (itching) will likely disappear upon initial recompression.

Additional images

References

  1. Adya, Keshavmurthy A; Inamadar, Arun C; Palit, Aparna (2014). "Reticulate Dermatoses". Indian Journal of Dermatology. 59 (1): 3–14. doi:10.4103/0019-5154.123480. ISSN 0019-5154. PMID 24470653. Archived from the original on 2022-08-17. Retrieved 2023-05-03.
  2. "Cutis Marmorata - American Osteopathic College of Dermatology (AOCD)". www.aocd.org. Archived from the original on 2018-05-09. Retrieved 2018-05-08.
  3. U.S. Navy Supervisor of Diving (2008). U.S. Navy Diving Manual (PDF). SS521-AG-PRO-010, revision 6. Vol. vol.5. U.S. Naval Sea Systems Command. pp. 20–25. Archived from the original (PDF) on 5 March 2011. Retrieved 28 July 2014. {{cite book}}: |volume= has extra text (help)