Cutis marmorata

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

Cutis marmorata (from Latin marmor, "marble") is a benign skin condition which, if persistent, occurs in Cornelia de Lange syndrome, trisomy 13 and trisomy 18 syndromes. [1] 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. [2] The marbling does not resolve until few days after treatment, but any pruritus (itching) will likely disappear upon initial recompression.

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Cutis marmorata telangiectatica congenita Medical condition

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Non-freezing cold injuries (NFCI) is a class of tissue damage caused by sustained exposure to low temperature without actual freezing. There are several forms of NFCI, and the common names may refer to the circumstances in which they commonly occur or were first described, such as trench foot, which was named after its association with trench warfare. NFCI is caused by microvascular endothelial damage, stasis and vascular occlusion and is characterised by peripheral neuropathy. NRCI generally affects the hands or feet during exposure to temperatures just above freezing, often wet, and is typically found in soldiers.

Diffuse capillary malformation with overgrowth (DCMO) is a subset of capillary malformations (CM) associated with hypertrophy, i.e. increased size of body structures. CM can be considered an umbrella term for various vascular anomalies caused by increased diameter or number of capillary blood vessels. It is commonly referred to as “port-wine stain”, and is thought to affect approximately 0.5% of the population. Typically capillaries in the papillary dermis are involved, and this gives rise to pink or violaceous colored lesions. Majority of DCMO lesions are diffuse, reticulated pale-colored stains.

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References

  1. "Cutis Marmorata - American Osteopathic College of Dermatology (AOCD)". www.aocd.org. Retrieved 2018-05-08.
  2. U.S. Navy Supervisor of Diving (2008). U.S. Navy Diving Manual (PDF). SS521-AG-PRO-010, revision 6. Vol. 5. U.S. Naval Sea Systems Command. pp. 20–25. Archived from the original (PDF) on 5 March 2011. Retrieved 28 July 2014.