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12 year old girl with stripes on her leg, present several years, seems worse with cold weather.


What is your diagnosis?


Livedo Reticularis


 

Diagnosis:

Livedo Reticularis (a.k.a Cutis Marmorata)

(see Bolognia, Second edition, page 1616 and Andrews 10th edition, page 818 for review of these 2 terms, as pointe )

Cutis Marmorata/Livedo Reticularis is a common, harmless vascular condition affecting about half of all children. Usually presents as a cosmetic concern from parents, or children as they enter adolescence and are more body conscious. Adults will also present with it under cold weather conditions.

(Thanks to Neil Shah for pointing out livedo reticularis)



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