Cutis Marmorata Telangiectatica Congenita (CMTC) is a rare cause of livedo reticularis in an infant. Some patients may show resolution of the livedo with time.


Patient selection: infant with livedo reticularis which may be localized or generalized


Primary diagnostic features:

(1) The livedo does not respond to warming.

(2) There are no systemic disorders that can explain the finding.


An infant with CMTC may have one or more of the following:

(1) cardiac anomaly (patent ductus arteriosus, atrial septal defect, double aortic arch)

(2) congenital glaucoma

(3) defect in skin development (aplastic cutis, hyperplastic cutis)

(4) defect in the palate (cleft, high-arched)

(5) dental dystrophy

(6) facial asymmetry

(7) frontal bossing

(8) hypertrophy of the affected limb

(9) hypotonia

(10) macrocephaly and/or dolichocephaly

(11) macrognathia

(12) mental retardation and/or delayed motor development

(13) optic nerve atrophy

(14) seizures

(15) syndactyly

(16) vascular malformations and/or varicosities (cutaneous, cerebrovascular, Sturge-Weber syndrome)


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