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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\u2010to\u2010left shunt as part of a medical evaluation prior to returning to diving.<\/jats:p>","DOI":"10.1111\/echo.14360","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T05:06:05Z","timestamp":1557810365000},"page":"1179-1180","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cutis marmorata in decompression sickness is associated with a patent foramen ovale"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5842-5672","authenticated-orcid":false,"given":"Christian K.","family":"Kerut","sequence":"first","affiliation":[{"name":"Franklin College of Arts and Sciences University of Georgia Athens Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph R.","family":"Serio","sequence":"additional","affiliation":[{"name":"Occupational Medicine Center Lafayette Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3880-3987","authenticated-orcid":false,"given":"Edmund K.","family":"Kerut","sequence":"additional","affiliation":[{"name":"Heart Clinic of Louisiana Marrero Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,13]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"170","volume-title":"Diving Medicine","author":"Francis TJR","year":"1990"},{"doi-asserted-by":"publisher","key":"e_1_2_2_3_1","DOI":"10.1111\/bjd.16604"},{"doi-asserted-by":"publisher","key":"e_1_2_2_4_1","DOI":"10.1056\/NEJMicm0909444"},{"doi-asserted-by":"publisher","key":"e_1_2_2_5_1","DOI":"10.2169\/internalmedicine.52.1212"},{"key":"e_1_2_2_6_1","first-page":"722","article-title":"Altitude decompression sickness: hyperbaric therapy results in 145 cases","volume":"48","author":"Davis JC","year":"1970","journal-title":"Aviat Space Environ 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