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A male infant presented with drooling of saliva at birth. There was an antenatal history of polyhydramnios. Oesophageal atresia and tracheoesophageal fistula (OA/TOF) were confirmed by the coiled nasogastric tube on chest X-ray. Skin was persistently marbled, regardless of temperature, in keeping with cutis marmorata telangiectatica congenita (CMTC). The second to fifth toes were absent bilaterally; the left great toe hypoplastic (figure 1). Dilated tortuous veins and areas of absent skin, aplasia cutis congenita (ACC), were evident on the scalp (figure 2). Atrial septal defect was identified on echocardiogram and tortuous …