Cutis marmorata in decompression sickness is associated with a patent foramen ovale

A 39‐year‐old male commercial diver developed cutis marmorata after a dive. He had a full recovery after therapy in a hyperbaric oxygen chamber. Transthoracic echocardiography revealed an atrial septal aneurysm and a large shunt during normal respirations. This form of decompression sickness may progress to type II DCS, thus is important to identify and treat. Cutis marmorata as a result of diving is highly associated with an atrial septal defect or a large patent foramen ovale. It is particularly important to assess these patients for a right‐to‐left shunt as part of a medical evaluation prior to returning to diving.

[1]  A. Villa,et al.  Cutis marmorata as a manifestation of decompression illness , 2020, Emergency Care Journal.

[2]  M. Ziv,et al.  Image Gallery: Cutis marmorata as a manifestation of decompression sickness , 2018, The British journal of dermatology.

[3]  Quan Zhou,et al.  Skin Lesions in Swine with Decompression Sickness: Clinical Appearance and Pathogenesis , 2017, Front. Physiol..

[4]  Costantino Balestra,et al.  Cutis Marmorata skin decompression sickness is a manifestation of brainstem bubble embolization, not of local skin bubbles. , 2015, Medical hypotheses.

[5]  R. Rienks,et al.  Cutis marmorata in decompression illness may be cerebrally mediated: a novel hypothesis on the aetiology of cutis marmorata. , 2015, Diving and hyperbaric medicine.

[6]  P. Wilmshurst,et al.  Comparison of the size of persistent foramen ovale and atrial septal defects in divers with shunt-related decompression illness and in the general population. , 2015, Diving and hyperbaric medicine.

[7]  P. Wilmshurst.  The role of persistent foramen ovale and other shunts in decompression illness. , 2015, Diving and hyperbaric medicine.

[8]  V. Kalentzos.  Images in clinical medicine. Cutis marmorata in decompression sickness. , 2010, The New England journal of medicine.

[9]  P. Wilmshurst,et al.  Relationship between right-to-left shunts and cutaneous decompression illness. , 2001, Clinical science.

[10]  J. Davis,et al.  Altitude decompression sickness: hyperbaric therapy results in 145 cases. , 1977, Aviation, space, and environmental medicine.

[11]  Y. Oode,et al.  Cutaneous manifestation of decompression sickness: cutis marmorata. , 2013, Internal medicine.

[12]  R. Moon.  Assessment of patients with decompression illness. , 1998 .