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  • Title: Cutis marmorata telangiectatica congenita and major lower limb asymmetry.
    Author: Amaral J, Peixoto S, Mimoso G, Pereira D.
    Journal: BMJ Case Rep; 2018 Jan 12; 2018():. PubMed ID: 29330270.
    Abstract:
    A 39-week-old male newborn presented at birth with atrophic erythematous and purpuric skin lesions, in a typical right-sided segmental distribution. Lesions were persistent and unaffected by rewarming in the postpartum period. Postnatal echocardiogram showed a predominance of the right cavities and an upper atrial septal defect. Cerebral and abdominal ultrasound were normal along with ophthalmological examination. On follow-up, lower limbs asymmetry was noted. The right lower limb was shorter in length and had a smaller diameter. At 6 months, the right lower limb was 1.5 cm shorter than the left, most likely related to nutritive vessels malformations. The discrepancy was even more pronounced at the age of 9 months. This leg-length asymmetry can lead to severe functional limitations in the future.
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