Cutis marmorata telangiectatica congenita or neonatal lupus?
Cutis marmorata telangiectatica congenita (CMTC) is a cutaneous vascular abnormality characterized by a persistent cutis marmorata pattern, spider nevuslike telangiectasia, and superficial ulceration. An infant girl was noted at birth to have characteristic features of CMTC as well as anti-Ro/SSA antibodies and a positive autonuclear antibody (ANA) test. Serologic studies carried out on her mother were positive for Ro/SSA antibodies as well as ANA (titer 1:2560). Therefore the diagnosis of neonatal lupus was made. We propose that livedo patterns mimicking CMTC might sometimes represent the residual phase of neonatal lupus active during intrauterine life.
Carrascosa
J M
JM
Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona Badalona, Spain.
Ribera
M
M
Bielsa
I
I
Coroleu
W
W
Ferrándiz
C
C
D000328:Adult; D000974:Antibodies, Antinuclear / Q000032:analysis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008180:Lupus Erythematosus, Systemic / Q000151:congenital* / Q000175:diagnosis; D017445:Skin Diseases, Vascular / Q000151:congenital* / Q000175:diagnosis
D000974:Antibodies, Antinuclear