What causes cutis marmorata? The mottled appearance of cutis marmorata is caused by superficial small blood vessels in the skin dilating and contracting at the same time. Dilation creates the red colour of the skin whilst contraction produces a pale appearance. Dr. Rossella Marmorato Rivera is a cardiologist in San Juan, Puerto Rico. She received her medical degree from University of Puerto Rico School of Medicine and has been in practice between 6-10 years.
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