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- Title
CONGENITAL VASCULAR LESIONS IN A NEWBORN: A DIAGNOSTIC CHALLENGE.
- Authors
Rac, Horea Valentin; Caputo, Camilla; Todoran, Anamaria; Ciocaş, Andrei-Dănuţ; Zbuchea, Georgiana Maria; Anciuc-Crauciuc, Mădălina
- Abstract
Introduction: Cutis marmorata teleangiectatica congenita (CMTC) is a rare cutaneous vascular anomaly manifesting with persistent cutis marmorata, telangiectasia, and phlebectasia. The most common distribution is over the lower limbs, with cutaneous atrophy and ulceration appearing rarely. CMTC is usually connected to other congenital abnormalities like under-/overgrowth of a limb. Case Report: We present the case of a full-term male newborn delivered via spontaneous vaginal delivery to a second-parous mother and hospitalized in 2023 at Targu Mures Emergency Clinical County Hospital Maternity, a tertiary hospital. At birth, the patient weighed 2940 grams and presented reticular telangiectatic erythema in a red-violet spectrum with localized distribution at the lower limb level and a sacral hemangioma. Apart from these findings, no additional malformations or issues were noted, and the infant was assigned a 10/10 APGAR score. During the hospitalization, the patient developed physiological neonatal jaundice, for which 48 hours of phototherapy were performed on the newborn. Based on the persistence and morphology of erythematous plaques meeting the following major criteria proposed by Kienast and Hoeger in 2009, including congenital reticulate erythema, absence of venectasia and unresponsiveness to local warming, the diagnosis of CMTC was confirmed, and further screenings and laboratory tests were conducted to identify if other associated anomalies were present. Discussions : Studies show that 42.5% of patients diagnosed with CMTC present other associated abnormalities, with the most common ones being body asymmetry and neurological defects like seizures or developmental delays, while the rarest occurring anomalies being the ophthalmological ones. Conclusions: Considering that establishing the correct diagnosis in newborns presenting skin lesions is not always straightforward and the increased risk that CMTC is related to other diseases, regular follow-ups for these patients are crucial to promptly detecting associated developmental disorders, like body asymmetry or ophthalmological issues.
- Subjects
ROMANIA; CONFERENCES &; conventions; SKIN abnormalities; BLOOD-vessel abnormalities; CHILDREN
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p242
- ISSN
2668-7755
- Publication type
Article