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September 1977

Picture of the Month

Author Affiliations

From the University of California at San Diego, LaJolla, Calif (Dr Merritt); and the Department of Pathology, Sunrise Hospital, Las Vegas (Dr Slaughter).

Am J Dis Child. 1977;131(9):1027-1028. doi:10.1001/archpedi.1977.02120220093016

Denouement and Discussion 

Cutis Marmorata Telangiectasia Congenita (Congenital Generalized Phlebectasia) 

Manifestations  A congenital pattern of prominent capillaries and veins is present and is manifested as a bluish-red, lace-like pattern over the trunk, limbs, and face of the neonate. These mottled areas easily blanch with slight pressure, and the overlying skin has a thin, parchment-like quality. Congenital glaucoma, patent ductus arteriosus, and mental retardation have also been reported.Skin biopsy of the involved areas shows dilated capillaries and veins, with occasional thin-walled sinusoids in both the dermis and subcutaneous tissue. Ectatic vessels confined only to the dermis have also been reported.Cutis marmorata telangiectasia congenita (CMTC) has been described with other vascular defects such as local varicosities, hemangiomatous malformations, and bone and soft tissue atrophy and hypertrophy. This has raised the possibility that CMTC is part of the spectrum of the Klippel-Trenaunay syndrome. However, in most of the cases, the disorder

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