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Cutis marmorata
Other Resources UpToDate PubMed

Cutis marmorata

Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH
Other Resources UpToDate PubMed


Cutis marmorata refers to the net-like, violaceous pattern seen in newborns as a result of transient shifts in cutaneous blood flow. This is a common condition, occurring more frequently in premature infants and may persist to the fourth week of life. Trisomy 18 syndrome, Down syndrome, Cornelia de Lange syndrome, and hypothyroidism have been associated with cutis marmorata that persists beyond early infancy.


R23.8 – Other skin changes

26825009 – Cutis marmorata

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Differential Diagnosis & Pitfalls

  • Unlike cutis marmorata, cutis marmorata telangiectatica congenita is persistent on warming, asymmetric, well-localized, and often associated with cutaneous and/or underlying limb atrophy.
  • Cardiac and pulmonary disease is associated with central cyanosis (cyanosis of the lips, face, and trunk) rather than cutis marmorata.
  • In livedo reticularis, there is a prominent vascular pattern related to underlying vasculitis.

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Last Updated:02/03/2022
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