Cutis Marmorata

Cutis Marmorata

Cutis marmorata  is a skin disorder characterized by appearance of a marbled, bluish pink discoloration of the skin on exposure to cold. It is commonly seen in infants and newborns and children; however, even adults can be affected. It is a physiological response to cold characterized by skin changes seen in newborns and infants.

Causes and risk factors

The exact mechanism is still not clear.  Studies have shown that cutis marmorata is a normal physiological response seen in babies on exposure to cold. It is caused due to immature development of the vascular and neurological systems. There occurs dilatation and contraction of the superficial blood vessels. The dilatation causes red color of the skin while the contraction of the blood vessels causes bluish pale appearance.

Clinical presentation:

Bluish pink discoloration of skin is the characteristic feature. A marble pattern is seen. The skin which is exposed to cold is affected. Rewarming restores the skin back to normal.

Investigations:

Diagnosis is done on the basis of the symptoms narrated by the parents along with clinical examination carried out by the doctor. Usually no investigations are required for this condition.

Treatment:

Cutis marmorata is a benign condition. It does not cause any complaint hence no medical intervention is needed. Rewarming the skin restores the skin back to normal.

When to contact a doctor:

Contact a pediatric doctor if one notices any pinkish blue discoloration of skin in a newborn baby.

System involved: Integumentary system, genetic system

Organ involved: Skin, tissues, blood vessels.

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