Cutis marmorata (mottled skin) in infants and children

Dermatological condition is very common in pediatrics. Called in English Cutis marmorata and in Hebrew simply cutis or mottled skin.

The skin looks like a network of blue spots and light lesions in the center. It usually occurs throughout the body, although it can only occur in a specific torso. See examples in the attached photos.

This transient phenomenon expresses a feature of the blood vessels (simultaneous contraction and dilation) that is especially common in small newborns.

As mentioned, there are two main situations for the appearance of this rash:

Newborns – very common in abstraction and exposure to cold. Passes quickly with cover / heating. Passes at young ages and usually does not hide any serious problem.

Infants and sometimes older children – common in feverish illness. Especially at the stage when the heat is climbing.

Cutis on foot

What is the pediatricians' approach to cutis marmorata ?

In all medical textbooks cutis marmorata appears as a warning sign in a child with a fever that can be associated with an important bacterial infection that should not be missed.

On the other hand in life itself, in newborns who are perfectly healthy, such a cutis neither bothers nor justifies doctor examinations. The truth is that even in infants and older children often do not find a significant cause for cutis.

But, if the child has a high fever at the same time and he looks sick, or if one of the other signs appear that are important and significant in the context of fever ( Read the link ) Then there is room for examination and evaluation by a doctor.