This 17 days old baby girl developed such mottled hyper pigmentation on face and rest of the body since last 2 days. There is no h/o prior rash. There is h/o fever on day 5 after birth for which baby was admitted by pediatrician and she received 5 days course of ampicillin, Inj.Gentamycin and Inj.Ceftrioxone. It was normal delivery but at 36th week of gestation. Except for pigmentation she was otherwise normal.
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Early onset, bizarre pigmentation in a girl – first thing I can think of is incontinentia pigmenti. TMEP (Telangiectasia macularis eruptiva perstans ) has rarely been reported in children, though I am not sure whether it will appear so early in life.
In Incontinentia Pigmenti usually pigmentation follows inflammatory phase and it is more typical(this is mottled but not as bizarre as I.P.)
I remember I saw a similar condition in an infant a few months earlier. I thought it was mastocytosis(UP) as the child was irritable and I could even elicit a Darier sign. There was a temporary relief with mild topical steroids but the pigmentation was persistent. What about this case?
I would think cutis marmorata telangiectatica congenita.
I agree. It looks like CMTC (cutis marmorata telangiectatica congenita)