II. Definitions
- Cutis Marmorata
- Normal cold response in newborns that resolves with rewarming (may also be seen in adults)
- Symmetric skin mottling involving an infant's trunk and extremities
III. Epidemiology
- Occurs in the first few weeks of life when exposed to cold
IV. Physiology
- Normal newborn physiologic response to cold
- Capillaries and venules dilate in response to cold skin
V. Symptoms
- Episodic mottling with cold exposure for the first few months of life
VI. Signs
- Skin mottling symmetrically involving the trunk and extremities on cold exposure
- Resolves in warm Temperatures
VII. Differential Diagnosis
- Telangiectatica Congenita
- Rare, serious vascular anomaly with similar mottling as with Cutis Marmorata
- In contrast, Telangiectatica Congenita is associated with skin atrophy, Skin Ulceration or unilateral involvement
- Refer suspected cases
VIII. Management
- Resolves with rewarming of skin