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Article
June 1987

Sacral Lipomas: The Need for Neurologic and Radiologic Evaluation

Author Affiliations

Departments of Dermatology and Pediatrics University of Texas Medical School 6431 Fannin, Suite 1.204 Houston, TX 77030; Department of Dermatology New York Medical College Valhalla, NY 10595; Departments of Dermatology and Pediatrics Children's Memorial Hospital 2300 Children's Plaza Chicago, IL 60614

Arch Dermatol. 1987;123(6):711-712. doi:10.1001/archderm.1987.01660300027004
Abstract

To the Editor.—  Del Giudice and Nydorf1 describe an infant with cutis marmorata telangiectatica congenita (CMTC) and multiple congenital anomalies in the September 1986 issue of the Archives. These anomalies include an imperforate anus, rectovaginal and urethrovaginal fistulas, spina bifida, bilateral syndactyly, and a sacral lipoma. Cutaneous changes included a reddish-purple marbled pattern of livedo reticularis with prominent telangiectasias over the right lower extremity and hemipelvis. No mention is made of a neurologic examination or neurologic deficits. The authors conclude by stating that patients with CMTC should be examined for other developmental defects, as they appear to have an increased risk for these abnormalities.We reported similar changes in five infants2 in an effort to emphasize the need for radiologic and neurologic evaluations to rule out underlying anomalies. Del Giudice and Nydorf1 describe the presence of a sacral lipoma, but no mention is made of tomograms, myelograms,

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