Baby with congenital"marble-skin"

[thabit]

A baby two months old , born by normal vaginal delivery , breathed spontaneously at birth and was a full term delivery, parents were not related and it was their first baby, no history of abortions, pregnancy course was uneventfull.

Baby was ok since birth , developing and thriving well, but with mottled, mrble like skin all over the body, no change in response to warming but increae with exposure to cold . at one month of age was presenting with moderate fever and was admitted to hospital mainly because of his mottled skin: screening for infections were done , in addition to thromboembolic screen; were all negative, discharged home with oral antibiotics, afer which he is ok but still with the marble skin..all physical examinations were norma including the cardiovascular system.no similar history in parents siblings..mother reported that she gets cold easily!!~.. asort of vasomotor instability???..any one has a comment or explanation?..thanks for all.

[Stefan Johansson]

Interesting case - given the fact that antibiotics were prescribed, were there any evidence of inflammation?

I am thinking if some kind of inflammatory process / vasculitits could play a role here.

Do you have a picture to add to your post above (we can help you to add it)?

[Guest helgip]

Hi,

may be it is some variation of cutis marmorata teleangiectatica congenita, would be really interesting to see the photo.

with very best regards,

Helgi Padari, MD, Estonia