Cutis marmorata as a manifestation of decompression illness

  • Antonio Villa | antonio_villa@fastwebnet.it Medical Examiner Divers (MED), Milan, Italy.
  • Mara Fiocchi Medical Examiner Divers (MED), Milan, Italy.

Abstract

We present imagines of skin lesions due to a decompression illness (known as cutis marmorata). These alterations are usually transient, but they could be a warning sign of a more severe manifestation of decompression illness.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

References

Vann RD, Butler FK, Mitchell SJ, Moon RE. Decompression illness. Lancet 2011;377:153-64. DOI: https://doi.org/10.1016/S0140-6736(10)61085-9

Pollock NW, Buteau D. Update in decompression illness. Emerg Med Clin North Am 2017;35 301-19. DOI: https://doi.org/10.1016/j.emc.2016.12.002

Kalentzos VN. Images in clinical medicine. Cutis marmorata in decompression sickness. N Engl J Med 2010;362:e67. DOI: https://doi.org/10.1056/NEJMicm0909444

Oode Y, Yanagawa Y, Inoue T, Oomori K, Osaka H, Okamoto K. Cutaneous manifestation of decompression sickness: cutis marmorata. Intern Med 2013;52:2479. DOI: https://doi.org/10.2169/internalmedicine.52.1212

Buttolph TB, Dick EJ Jr, Toner CB, Broome JR, Williams R, Kang YH, et al. Cutaneous lesions in swine after decompression: histopathology and ultrastructure. Undersea Hyperbaric Med 1998;25:115-21.

Germonpre P, Balestra C, Obeid G, Caers D. Cutis marmorata skin decompression sickness is a manifestation of brainstem bubble embolization, not of local skin bubbles. Medical Hypothesis 2015;85:863-9. DOI: https://doi.org/10.1016/j.mehy.2015.09.022

Kemper TC, Rienks R, van Ooij P, van Hulst RA. Cutis marmorata in decompression illness may be cerebrally mediated: a novel hypothesis on the aetiology of cutis marmorata. Diving Hyperb Med 2015;45:84-8.

Bai Y, Mahon RT, White JC, Brink PR, Chon KH. Impairment of the autonomic nervous function during decompression sickness in swine. J Appl Physiol 2009;106:1004-9. DOI: https://doi.org/10.1152/japplphysiol.91246.2008

Wilmshurst PT. The role of persistent foramen ovale and other shunts in decompression illness. Diving Hyperb Med 2015;45:98-104.

Kerut CK, Serio JR, Kerut EK. Cutis marmorata in decompression sickness is associated with a patent foramen ovale. Echocardiography 2019;36:1179-80. DOI: https://doi.org/10.1111/echo.14360

Tasios K, Sidiras GG, Kalentzos V, Pyrpasopoulou A. Cutaneous decompression sickness. Diving Hyperb Med 2014;44:45-7.

Published
2020-12-23
Info
Issue
Section
Images in Emergency
Keywords:
Cutis marmorata, decompression illness, scuba diving
Statistics
  • Abstract views: 183

  • PDF: 80
How to Cite
Villa, A., & Fiocchi, M. (2020). <i>Cutis marmorata</i&gt; as a manifestation of decompression illness. Emergency Care Journal, 16(3). https://doi.org/10.4081/ecj.2020.8950