CUTIS MARMORATA TELANGIECTATICA CONGENITA
By Gary M. White, MD
Cutis Marmorata Telangiectatica Congenita (CMTC) is a congenital abnormality of the skin.
- Limb length discrepancy and asymmetry are common in CMTC. In a study of 80 patients, a limb length discrepancy was identified in 51% of cases. [BJD March 2014].
- Patients may have associated abnormalities including body asymmetry, port wine stain, glaucoma, aplasia cutis congenita (e.g. Adams-Oliver Syndrome), and cleft palate. When macrocephaly is associated, the term Macrocephaly-cutis marmorata telangiectatica congenita is used.
CMTC is a localized or generalized reticulated, vascular, blue-violet network that is usually present at birth, but may rarely appear in the first year or so of life. CMTC has some similarities to cutis marmorata (physiologic mottling of the skin). The presence of atrophy, skin ulceration, and sharp demarcation of a localized lesion that does not disappear after warming all distinguish CMTC from physiological cutis marmorata.
In the majority of patients, the vascular skin lesions improve or totally disappear by 2 years of age. It has been suggested that patients should be referred to an ophthalmologist or neurologist if symptoms are present or if vascular lesions are present around the eyes [AD 1999;135;34]. Special attention should be given to limb lengths to detect any discrepancies.
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