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Cutis Marmorata Telangiectatica Congenita Treatment & Management

  • Author: Robert A Schwartz, MD, MPH; Chief Editor: William D James, MD  more...
 
Updated: Jun 22, 2016
 

Medical Care

No treatment is needed for cutis marmorata telangiectatica congenita (CMTC) unless associated anomalies (eg, glaucoma, hypospadias, syndactyly, multicystic renal disease, cardiac malformation, limb asymmetry) require treatment.

The association between retinal detachment and cutis marmorata is salient, as laser photocoagulation may effectively treat the associated retinal detachment.[34]

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Consultations

Consultation with an orthopedist and/or neurosurgeon may be necessary for evaluation of associated anomalies (eg, limb or cranial defects). Limb-length discrepancy and asymmetry, common in this disorder, may prompt orthopedic referral.[35]

Consultation with an ophthalmologist may be necessary because glaucoma has been reported in association with cutis marmorata telangiectatica congenita. However, all of the patients with glaucoma had periocular skin changes around the affected eye. Therefore, ophthalmologic evaluation is probably only indicated in this setting.

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Complications

Hemangiomas and lymphangiomas have been seen in association with cutis marmorata telangiectatica congenita. Diffuse dermal angiomatosis may also arise in cutis marmorata telangiectatica congenita.[36] The former is a variant of reactive angioendotheliomatosis, often evident clinically as painful, violaceous, nonhealing erosions or ulcers. It is characterized histologically by diffuse endothelial cell hyperplasia within the reticular dermis rather than the intravascular proliferation typical of reactive angiomatosis.

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Contributor Information and Disclosures
Author

Robert A Schwartz, MD, MPH Professor and Head of Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, Rutgers New Jersey Medical School; Visiting Professor, Rutgers University School of Public Affairs and Administration

Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, New York Academy of Medicine, American Academy of Dermatology, American College of Physicians, Sigma Xi

Disclosure: Nothing to disclose.

Coauthor(s)

Anna Zalewska, MD, PhD Professor of Dermatology and Venereology, Psychodermatology Department, Chair of Clinical Immunology and Microbiology, Medical University of Lodz, Poland

Disclosure: Nothing to disclose.

Emel Erdal, MD Associate Professor of Dermatology, Mesa Hospital, Turkey

Disclosure: Nothing to disclose.

Meltem Onder, MD Professor of Dermatology, Director of Contact Dermatitis and Behcet's Disease Clinic, Gazi University School of Medicine

Meltem Onder, MD is a member of the following medical societies: American Academy of Dermatology, International Society of Dermatology

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Julia R Nunley, MD Professor, Program Director, Dermatology Residency, Department of Dermatology, Virginia Commonwealth University Medical Center

Julia R Nunley, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, American Society of Nephrology, International Society of Nephrology, Medical Dermatology Society, Medical Society of Virginia, National Kidney Foundation, Phi Beta Kappa, Women's Dermatologic Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: American Board of Dermatology<br/>Co-Editor for the text Dermatological Manifestations of Kidney Disease .

Chief Editor

William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Noah S Scheinfeld, JD, MD, FAAD Assistant Clinical Professor, Department of Dermatology, Weil Cornell Medical College; Consulting Staff, Department of Dermatology, St Luke's Roosevelt Hospital Center, Beth Israel Medical Center, New York Eye and Ear Infirmary; Assistant Attending Dermatologist, New York Presbyterian Hospital; Assistant Attending Dermatologist, Lenox Hill Hospital, North Shore-LIJ Health System; Private Practice

Noah S Scheinfeld, JD, MD, FAAD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Abbvie<br/>Received income in an amount equal to or greater than $250 from: Optigenex<br/>Received salary from Optigenex for employment.

References
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Reticular skin lesions are observed on the right arm of a 7-year-old girl.
The reticulated mottling is observed on the skin of the back of a newborn.
Similar lesions are seen on the abdominal skin of the patient in Image 2.
 
 
 
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