An otherwise healthy 13-year-old girl presented with a persistent reticulated erythema with atrophy and dilated veins on back (a, b) and buttock since birth, which did not disappear with warming. There were no extracutaneous abnormalities. Her growth and development were normal. 1) What is your diagnosis/ differential diagnosis? 2) What workup would you initiate? (Source internet)



It is also known as erythema Ab Igne, this is commonly found in pt with chronic abdominal pain and chronic back ache. Just to get relief of pain they apply hot application by bottle or by some infra ray bulb. Due to prolong exposure to get relief of pain and due to prolong thermal radiation leading to development of reticular erythema, hyperpigmentation, scaling and tanlangiectasias. Causes Repeated exposure hot for a prolong time for abdominal pain and severe back ache Repeated exposure for tanning Occupational among gold Smith, plant worker steel factory D/D Levedo reticularis Vasculitis Discontinue exposure in due course of time the color may fade away but in the long run pt may develop malignancy Soothing topical cream application.


Tnx Dr Amitabha Dasgupta

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*CMTC/Von Lohuizen Syndrome/Congenital Generalised Phlebectasia.

?? Cutis Marmorata Telangiectatica Congenita

Cutis Marmorata Telangiectasia Congenita (CMTC)

I am agree with @Dr. Partha Sarathi Sahana Sir.

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