This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Eczema and related disorders, Subject name: Dental
Persistent and pronounced Cutis marmorata occurs in the following EXCEPT 
Select and explain. 
A. Menkes disease, B. Familial dysautonomia, C. Down syndrome, D. Keshan Bach's disease
D: Keshan Bach's disease
Answer: D: Keshan Bach's disease 
Explanation: Cutis Marmorata When a newborn infant is exposed to low temperature - an evanescent, lacy, reticulated blue cutaneous vascular pattern appears over the body surface. This vascular change represents an accentuated physiologic vasomotor response that disappears with increasing age. Persistent and pronounced cutis marmorata seen in - Menkes disease Familial dysautonomia Cornelia de Lange Down syndrome Trisomy 18 syndrome