28/05/2026
Cutis Marmorata
Definition : Reticular mottling, lacy red pattern of the skin, marbled , purplish skin discoloration.
a. Physiologic cutis marmorata.
seen in healthy infants and in those with cold stress, hypovolemia, shock, or sepsis.
It can be caused by an instability or immaturity of the nerve supply to the superficial capillary blood vessels in the skin.
It is usually in a symmetric pattern and can be seen on the extremities and on the trunk
It disappears with rewarming.
b. Persistent cutis marmorata.
Occurs in infants with Down syndrome, Cornelia de Lange syndrome,, trisomy 13, trisomy 18,
hypothyroidism and in other conditions .
c. Cutis marmorata telangiectatica congenita.
A rare congenital cutaneous vascular malformation.
The mottling does not disappear with warming.
It can be associated with body asymmetry ,eye and neurological manifestations .
