先天性毛细血管扩张性大理石样皮肤1例

A Case of Cutis Marmorata Telangiectatica Congenita

患儿男,生后1d,自出生时发现全身皮肤呈紫红色网状花纹样改变。内科系统检查未见明显异常。皮肤科情况:面部见少量淡红色网状斑,躯干下部、四肢广泛分布紫红色血管扩张,呈网状及树枝状分布,部分皮疹处皮肤及皮下组织萎缩,双下肢粗细不同。诊断:先天性毛细血管扩张性大理石样皮肤。随访3个月,患儿皮疹颜色较生时浅淡,仍有双下肢粗细差异与局部皮肤及皮下组织萎缩。

A one-day-old boy presented with a red-purple reticular pattern from birth.No obvious abnormalities were found in the medical examination.Dermatologic examination revealed reddish reticular macules on the face,red-purple reticular vasodilatation on the limbs and lower part of the trunk.The skin and subcutaneous tissue of some rashes were atrophied and the thickness of the legs was different.He was diagnosed as cutis marmorata telangiectatica congenita.During the follow-up of three months,the color of the rashes became lighter.Still,there was difference in the thickness of legs.Atrophy of the local skin and subcutaneous tissue still existed.