II. Definitions

  1. Cutis Marmorata
    1. Normal cold response in newborns that resolves with rewarming (may also be seen in adults)
    2. Symmetric skin mottling involving an infant's trunk and extremities

III. Epidemiology

  1. Occurs in the first few weeks of life when exposed to cold

IV. Physiology

  1. Normal newborn physiologic response to cold
  2. Capillaries and venules dilate in response to cold skin

V. Symptoms

  1. Episodic mottling with cold exposure for the first few months of life

VI. Signs

  1. Skin mottling symmetrically involving the trunk and extremities on cold exposure
  2. Resolves in warm Temperatures

VII. Differential Diagnosis

  1. Telangiectatica Congenita
    1. Rare, serious vascular anomaly with similar mottling as with Cutis Marmorata
    2. In contrast, Telangiectatica Congenita is associated with skin atrophy, Skin Ulceration or unilateral involvement
    3. Refer suspected cases

VIII. Management

  1. Resolves with rewarming of skin

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