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,
Hebert AA, Goldberg NS, Esterly NB. Sacral Lipomas: The Need for Neurologic and Radiologic Evaluation. Arch Dermatol. 1987;123(6):711–712. doi:10.1001/archderm.1987.01660300027004
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: