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Living with Congenital livedo reticularis

A skin and blood vessel condition present at birth that causes marbled-looking patches, most often on the legs.

Understanding Congenital livedo reticularis

Congenital livedo reticularis (CMTC) is a birth condition of the skin and blood vessels that causes marbled-looking patches of skin.

CMTC causes marbled skin patches, tiny widened blood vessels under the skin (telangiectasia), and varicose veins. It most often shows up on the legs, and sometimes on the arms and trunk. The face is rarely involved. It usually affects one area of skin. The skin changes generally improve with age. CMTC can happen alone or with other birth differences, such as one arm or leg growing smaller or larger than the other.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Marbled-looking skin (cutis marmorata)
  • Tiny widened blood vessels in the skin (telangiectasia)
  • Skin changes on the legs or arms
  • Shorter lower limbs
  • Skin erosion or very thin skin
  • Bleeding under the skin

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Vascular Birthmarks Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Vascular Birthmarks Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Vascular Birthmarks Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which parts of my child's skin and body does CMTC affect?
Should my child have a check of the eyes or limbs because of CMTC?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD lists autosomal recessive inheritance, where a child inherits a changed copy of the gene from each parent. Most cases are thought to be sporadic, meaning not inherited, though rare cases have run in families.

Skin

Also known as: cmtc; cmtc - cutis marmorata telangiectatica congenita; cutis marmorata telangiectasia congenita; cutis marmorata telangiectatica congenita; cutis marmorata telangiectatica congenita (disease); van lohuizen's syndrome

Patient organizations

Source: NIH GARD · Congenital livedo reticularisGARD ID 6228 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital livedo reticularis.

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HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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